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1710998729
SUSAN NORTHERN LACY
MEMPHIS, TN
NPI
1710998729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: TN 28143)
Enumeration Date
2006-08-11
Last Update Date
2019-11-01
Business Address
SUSAN NORTHERN LACY MD
6401 POPLAR AVE STE 530
MEMPHIS, TN 38119-4840
Phone number: 901-767-9368
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Mailing Address
SUSAN NORTHERN LACY MD
1407 UNION AVE STE 1401
MEMPHIS, TN 38104-3667
Phone number: 901-701-1777
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