Individual
MS. LACEY MOUSER MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA
Contact information
Practice address
2131 N LOCUST AVE, LAWRENCEBURG, TN 38464-4455
(931) 762-6545
(931) 762-6781
Mailing address
2131 N LOCUST AVE, SUITE D, LAWRENCEBURG, TN 38464-4455
(931) 762-6545
(931) 762-6781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000002301
TN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/15/2011
Last updated
11/24/2014
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