Individual
LACEY GRACE CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3712 BROADWAY RD, BARTLETT, TN 38135-2600
(901) 612-6488
Mailing address
3712 BROADWAY RD, BARTLETT, TN 38135-2600
(901) 612-6488
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
09/11/2025
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