Individual
LAURA LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
105 W STONE DR STE 3A, KINGSPORT, TN 37660-3365
(423) 392-6200
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41437
TN
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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