Individual
KATHERN M LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNPBC
Contact information
Practice address
7395 S HOUGHTON RD, TUCSON, AZ 85747-3304
(520) 664-1831
Mailing address
992 S RIPARIAN AVE, TUCSON, AZ 85748-7058
(501) 691-9072
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
238290
AZ
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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