LANISE COOPER LACEY

JACKSON, MS
NPI1982833091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  R864303)
Enumeration Date2009-07-10
Last Update Date2012-10-11
Business Address
-- LANISE COOPER LACEY N.P.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-925-6805
Mailing Address
-- LANISE COOPER LACEY N.P.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-925-6805
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