Lacey Banther, LPN | |
3074 Hickory Valley Rd, Chattanooga, TN 37421-1265 | |
(423) 622-1551 | |
Not Available |
Full Name | Lacey Banther |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 3074 Hickory Valley Rd, Chattanooga, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609286376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LPN-8275166 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
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Lacey Banther, LPN Po Box 8114, Chattanooga, TN 37414-0114 Ph: () - | Lacey Banther, LPN 3074 Hickory Valley Rd, Chattanooga, TN 37421-1265 Ph: (423) 622-1551 |
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Kisha A Barclay, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 413 Spring St, Chattanooga, TN 37405 Phone: 423-756-2740 | |
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