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1093701781
MARY J LACY
MARIETTA, GA
NPI
1093701781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN131464)
Enumeration Date
2005-09-27
Last Update Date
2024-11-11
Business Address
MARY J LACY NP
310 KENNESTONE HOSPITAL BLVD
MARIETTA, GA 30060-1120
Phone number: 770-793-7856
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Mailing Address
MARY J LACY NP
310 KENNESTONE HOSPITAL BLVD
MARIETTA, GA 30060-1120
Phone number: 770-793-7856
Copy
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