Individual
DR. LACY BRIEANN HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5110
(865) 215-5117
Mailing address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5110
(865) 215-5117
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
9473
TN
Other
Enumeration date
06/13/2012
Last updated
12/04/2015
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