Individual
LACIE L. RODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC. RM
Contact information
Practice address
1300 CLEVELAND AVE, CHATTANOOGA, TN 37404-2005
(423) 756-7860
(423) 756-9137
Mailing address
1300 CLEVELAND AVE, CHATTANOOGA, TN 37404-2005
(423) 756-7860
(423) 756-9137
Taxonomy
Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
APN20829
TN
363L00000X
Nurse Practitioner
Primary
20829
TN
Other
Enumeration date
05/18/2016
Last updated
03/13/2019
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