Individual
LACY DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 RUIN CREEK RD, HENDERSON, NC 27537-8732
(252) 492-0066
Mailing address
5200 SUMMIT MANOR LN APT 308, RALEIGH, NC 27613-7069
(252) 474-2019
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6253
NC
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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