ANTWAN EDWARD LACY

SAINT PETERSBURG, FL
NPI1477059376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: FL  9372952)
Enumeration Date2018-04-01
Last Update Date2021-07-27
Business Address
MR. ANTWAN EDWARD LACY FNP-C
7000 4TH ST N STE A
SAINT PETERSBURG, FL 33702-5903
Phone number: 727-526-3627
Mailing Address
MR. ANTWAN EDWARD LACY FNP-C
7000 4TH ST N STE A
SAINT PETERSBURG, FL 33702-5903
Phone number: 727-526-3627
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