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Individual

MRS. LANA LYNN LACY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN/CFA

Contact information

Practice address
833 SAINT VINCENTS DR STE 403, BIRMINGHAM, AL 35205-1614
(205) 939-0447
(205) 939-0418
Mailing address
233 ST VINCENTS DR BUILDING 3 SUITE 403, BIRMINGHAM, AL 35205
(205) 939-0447

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
2-046662
AL
164W00000X
Licensed Practical Nurse
P327162
MS
246ZC0007X
Surgical Assistant
Primary
3788
TN

Other

Enumeration date
10/02/2012
Last updated
04/05/2016
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