Individual
LACEY BROOKE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1151 N STATE ST STE 311, JACKSON, MS 39202-2407
(601) 969-1171
(601) 969-6749
Mailing address
1151 N STATE ST STE 311, JACKSON, MS 39202-2407
(601) 969-1171
(601) 969-6749
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
PATT-J3RI84
MS
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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