MARY LACEY

MACON, GA
NPI1902096399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: GA  RN182787)
Additional Taxonomies363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: AK  794)
Enumeration Date2007-07-31
Last Update Date2014-04-11
Business Address
-- MARY LACEY ANP
350 HOSPITAL DR
MACON, GA 99508-4615
Phone number: 478-765-4132
Mailing Address
-- MARY LACEY ANP
350 HOSPITAL DR
MACON, GA 99519-6276
Phone number: