Individual
CAMILLE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
312 21ST AVE N, NASHVILLE, TN 37236-0001
(615) 321-7330
Mailing address
634 STAR BLVD, MADISON, TN 37115-6385
(615) 612-4148
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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