Individual
LACEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 INGLESBY PKWY, DUNCAN, SC 29334-9117
(864) 433-8443
(864) 433-0495
Mailing address
325 INGLESBY PKWY, DUNCAN, SC 29334-9117
(864) 433-8443
(864) 433-0495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
42917
SC
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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