Individual
MRS. LACIE WATSON ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
530 S LAWRENCE ST, MONTGOMERY, AL 36104-4612
(334) 213-1227
Mailing address
1330 FLEAHOP RD, ECLECTIC, AL 36024-6237
(912) 980-1847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-150495
AL
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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