LACIE BLACK

CHATTANOOGA, TN
NPI1336784370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  26228)
Enumeration Date2019-11-13
Last Update Date2020-02-13
Business Address
Mrs. LACIE BLACK NP-C
2415 MCCALLIE AVE
CHATTANOOGA, TN 37404-3322
Phone number: 423-624-2696
Mailing Address
Mrs. LACIE BLACK NP-C
2415 MCCALLIE AVE
CHATTANOOGA, TN 37404-3322
Phone number: 423-624-2696
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