Individual
LACEY PODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
48 MEDICAL PARK DR E STE 159, BIRMINGHAM, AL 35235
(205) 838-3349
(205) 838-3451
Mailing address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 558-3484
(205) 930-2158
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1-129482
AL
363L00000X
Nurse Practitioner
1-129482
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-129482
AL
Other
Enumeration date
11/14/2017
Last updated
02/14/2019
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