Individual
LACEY MARGARET DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 ALUMNI AVE RM BALLHALL, MEMPHIS, TN 38111-5914
(901) 678-2841
Mailing address
5352 SCRIVENER DR, MEMPHIS, TN 38134-8449
(901) 496-2327
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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