Individual
LARRY L LACEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5528 MAPLE LANDING DR, ARLINGTON, TN 38002-7031
(901) 874-3820
Mailing address
5528 MAPLE LANDING DR, ARLINGTON, TN 38002-7031
(901) 874-3820
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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