Individual
LACEY DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3104 BLUE LAKE DR, SUITE 110, VESTAVIA, AL 35243-2345
(334) 247-8769
(334) 377-4417
Mailing address
PO BOX 830550, BIRMINGHAM, AL 35283-0550
(334) 247-8769
(334) 377-4417
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-131310
AL
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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