Individual
MR. LACEY C QUARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 RICE MINE ROAD LOOP, SUITE 206, TUSCALOOSA, AL 35406-2414
(205) 339-0171
(205) 333-8681
Mailing address
100 RICE MINE ROAD LOOP, SUITE 206, TUSCALOOSA, AL 35406-2414
(205) 339-0171
(205) 333-8681
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-076828
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891008370
—
AL
Enumeration date
12/04/2006
Last updated
02/21/2008
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