Individual
LACY HOLLAND LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 422-2326
(770) 422-7797
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 422-2326
(770) 422-7797
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN230232
GA
Other
Enumeration date
09/26/2018
Last updated
11/14/2022
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