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Mrs. Lacy Moore, FNP
Family Nurse Practitioner in Wartrace, Tennessee
NPI 1457682874

Lacy Moore is a Family Nurse Practitioner based in Wartrace, TN and is specialized in Family. Lacy Moore practices in Wartrace, TN and has the professional credentials of FNP. The NPI Number for Lacy Moore is 1457682874 and holds a License No. 14708 (Tennessee).

The current practice location address for Lacy Moore is 507 Blackman Blvd W, Wartrace, TN and can be reached out via phone at 931-389-0600.

Location: 507 Blackman Blvd W, Wartrace, TN, 37183-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457682874
Provider Name
Lacy Moore
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
507 Blackman Blvd W, Wartrace, TN, 37183-2210
Phone Number
931-389-0600
Fax Number
Provider Enumeration Date
01/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
507 Blackman Blvd W
City
Wartrace
State
Tennessee
Zip
37183-2210
Phone Number
931-389-0600
Fax Number
person
Provider Business Mailing Address Details
Address
507 Blackman Blvd W
City
Wartrace
State
Tennessee
Zip
37183-2210
Phone Number
931-389-0600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
14708 (Tennessee)
Definition
Definition to come...
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