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1699390757
LACY E CUSHMAN
CHATTANOOGA, TN
NPI
1699390757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 0000027377)
Enumeration Date
2020-06-14
Last Update Date
2020-06-14
Business Address
Mrs. LACY E CUSHMAN FNP-C
1622 MARY DUPRE DR
CHATTANOOGA, TN 37421-2538
Phone number: 423-432-7686
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Mailing Address
Mrs. LACY E CUSHMAN FNP-C
1622 MARY DUPRE DR
CHATTANOOGA, TN 37421-2538
Phone number: 423-432-7686
Copy
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