Individual
LACEY BLAKENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1002 JEFFERSON STREET, SUITE 450, LAUREL, MS 39440-4327
(601) 428-0438
Mailing address
39 FRANKLIN RD STE 300, HATTIESBURG, MS 39402-1588
(601) 268-9393
(601) 268-9559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872620
MS
Other
Enumeration date
08/06/2014
Last updated
04/01/2024
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