Individual
LACEY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6976
(865) 835-3560
Mailing address
PO BOX 5059, OAK RIDGE, TN 37831-5059
(800) 611-6713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP15137
TN
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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