Individual
LACEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 TIN CAN ALY, SUMMERVILLE, SC 29483-7952
(843) 934-2983
Mailing address
126 TIN CAN ALY, SUMMERVILLE, SC 29483-7952
(843) 934-2983
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
103442
SC
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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