Individual
LACEY PALMER CONAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1374 CORDOVA CV, GERMANTOWN, TN 38138-2200
(602) 816-2938
Mailing address
1374 CORDOVA CV, GERMANTOWN, TN 38138-2200
(602) 816-2938
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
38207
TN
363L00000X
Nurse Practitioner
902490
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200054500B
—
OK
Enumeration date
09/15/2008
Last updated
12/19/2025
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