Individual
DR. LACY ELIZABETH SANSBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3056 MILES JOHNSON PKWY, SPRING HILL, TN 37174-4564
(877) 407-3422
(877) 407-4329
Mailing address
712 VALENCINA DRIVE, CLARKSVILLE, TN 37043
(931) 999-5588
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
13908
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q070228
—
TN
Enumeration date
10/01/2021
Last updated
04/26/2025
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