person
Mary J Lacy, NP
Family Nurse Practitioner in Marietta, Georgia
NPI 1093701781

Mary J Lacy is a Family Nurse Practitioner based in Marietta, GA and is specialized in Family. Mary J Lacy practices in Marietta, GA and has the professional credentials of NP. The NPI Number for Mary J Lacy is 1093701781 and holds a License No. RN131464 (Georgia).

The current practice location address for Mary J Lacy is 310 Kennestone Hospital Blvd, Marietta, GA and can be reached out via phone at 770-793-7856 and via fax at 770-793-7856.

Location: 310 Kennestone Hospital Blvd, Marietta, GA, 30060-1120
person
Provider Profile Details
NPI Number
1093701781
Provider Name
Mary J Lacy
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
310 Kennestone Hospital Blvd, Marietta, GA, 30060-1120
Phone Number
770-793-7856
Fax Number
770-793-7856
Provider Enumeration Date
09/27/2005
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
962062906C 05 GA
962062906A 05 GA
institution
Provider Business Practice Location Address Details
Address
310 Kennestone Hospital Blvd
City
State
Zip
30060-1120
Phone Number
770-793-7856
Fax Number
770-793-7856
person
Provider Business Mailing Address Details
Address
310 Kennestone Hospital Blvd
City
State
Zip
30060-1120
Phone Number
770-793-7856
Fax Number
770-793-7856
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN131464 (Georgia)
Definition
Definition to come...
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