LACEY BANTHER

CHATTANOOGA, TN
NPI1609286376
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  LPN-8275166)
Enumeration Date2014-05-05
Last Update Date2014-05-05
Business Address
-- LACEY BANTHER LPN
3074 HICKORY VALLEY RD
CHATTANOOGA, TN 37421-1265
Phone number: 423-622-1551
Mailing Address
-- LACEY BANTHER LPN
PO BOX 8114
CHATTANOOGA, TN 37414-0114
Phone number:
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