LACY HICKS

JOHNSON CITY, TN
NPI1396465621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2080P0202X Pediatrics, Pediatric Cardiology
(Licence: TN  1841362555)
Enumeration Date2022-08-29
Last Update Date2023-09-04
Business Address
Mrs. LACY HICKS CPNP
2312 KNOB CREEK RD STE 208
JOHNSON CITY, TN 37604-2367
Phone number: 423-610-1099
Mailing Address
Mrs. LACY HICKS CPNP
2312 KNOB CREEK RD STE 208
JOHNSON CITY, TN 37604-2367
Phone number: 423-610-1099