Individual
LACY PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 LAKEWOOD DR, 1, BATESVILLE, MS 38606-3011
(622) 655-0311
Mailing address
171 LAKEWOOD DR, 1, BATESVILLE, MS 38606-3011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
901536
MS
Other
Enumeration date
08/09/2016
Last updated
12/28/2022
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