Individual
LACEY MUSICK CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 326-2831
Mailing address
7154 GOLDEN OAKS LOOP E, SOUTHAVEN, MS 38671-6150
(901) 326-2831
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
27890
TN
Other
Enumeration date
04/16/2020
Last updated
08/03/2020
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