SUSAN NORTHERN LACY

MEMPHIS, TN
NPI1710998729
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: TN  28143)
Enumeration Date2006-08-11
Last Update Date2019-11-01
Business Address
SUSAN NORTHERN LACY MD
6401 POPLAR AVE STE 530
MEMPHIS, TN 38119-4840
Phone number: 901-767-9368
Mailing Address
SUSAN NORTHERN LACY MD
1407 UNION AVE STE 1401
MEMPHIS, TN 38104-3667
Phone number: 901-701-1777