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1396465621
LACY HICKS
JOHNSON CITY, TN
NPI
1396465621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0202X Pediatrics, Pediatric Cardiology
(Licence: TN 1841362555)
Enumeration Date
2022-08-29
Last Update Date
2023-09-04
Business Address
Mrs. LACY HICKS CPNP
2312 KNOB CREEK RD STE 208
JOHNSON CITY, TN 37604-2367
Phone number: 423-610-1099
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Mailing Address
Mrs. LACY HICKS CPNP
2312 KNOB CREEK RD STE 208
JOHNSON CITY, TN 37604-2367
Phone number: 423-610-1099
Copy
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