person
Ms. Lacy Johnson Conry, PA
Surgical Physician Assistant in Bartlett, Tennessee
NPI 1205356565

Lacy Johnson Conry is a Surgical Physician Assistant based in Memphis, TN and is specialized in Surgical. Lacy Johnson Conry practices in Bartlett, TN and has the professional credentials of PA. The NPI Number for Lacy Johnson Conry is 1205356565 and holds a License No. 3316 (Tennessee).

The current practice location address for Lacy Johnson Conry is 3045 Kate Bond Rd, Bartlett, TN and can be reached out via phone at 901-641-3000 and via fax at 901-373-3804. You can also correspond with Lacy Johnson Conry through the mailing address at 6077 PRIMACY PKWY STE 140, MEMPHIS, TN - 38119-5742 (mailing address contact number: 901-725-8347).

Location: 3045 Kate Bond Rd, Bartlett, TN, 38119-5742
person
Provider Profile Details
NPI Number
1205356565
Provider Name
Lacy Johnson Conry
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3045 Kate Bond Rd, Bartlett, TN, 38119-5742
Phone Number
901-641-3000
Fax Number
901-373-3804
Provider Enumeration Date
06/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1136210 01 TN NCCPA
3316 01 TN LICENSE UPDATE
institution
Provider Business Practice Location Address Details
Address
3045 Kate Bond Rd
City
State
Zip
38133-4004
Phone Number
901-641-3000
Fax Number
901-373-3804
person
Provider Business Mailing Address Details
Address
3045 Kate Bond Rd
City
State
Zip
38133-4004
Phone Number
901-641-3000
Fax Number
901-373-3804
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3316 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
3316 (Tennessee)
Definition
Definition to come...
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