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1326396193
REGINA MARIE LACEY
LAWRENCEVILLE, GA
NPI
1326396193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN162306)
Enumeration Date
2012-08-27
Last Update Date
2017-04-06
Business Address
Ms. REGINA MARIE LACEY NP-C
631 PROFESSIONAL DR STE 120
LAWRENCEVILLE, GA 30046-3370
Phone number: 678-312-3290
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Mailing Address
Ms. REGINA MARIE LACEY NP-C
3963 SAVANNAH SQUARE ST
SUWANEE, GA 30024-6790
Phone number: 770-617-1577
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