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Mary Lacey, ANP
Critical Care Pediatric Nurse Practitioner in Macon, Georgia
NPI 1902096399

Mary Lacey is a Critical Care Pediatric Nurse Practitioner based in Macon, GA and is specialized in Pediatrics, Critical Care. Mary Lacey practices in Macon, GA and has the professional credentials of ANP. The NPI Number for Mary Lacey is 1902096399 and holds a License No. RN182787 (Georgia).

The current practice location address for Mary Lacey is 350 Hospital Dr, Macon, GA and can be reached out via phone at 478-765-4132. You can also correspond with Mary Lacey through the mailing address at 350 HOSPITAL DR, MACON, GA - 99519-6276 (mailing address contact number: ).

Location: 350 Hospital Dr, Macon, GA, 99519-6276
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Provider Profile Details
NPI Number
1902096399
Provider Name
Mary Lacey
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
350 Hospital Dr, Macon, GA, 99519-6276
Phone Number
478-765-4132
Fax Number
Provider Enumeration Date
07/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN182787 05 GA
NP0794 05 AK
institution
Provider Business Practice Location Address Details
Address
350 Hospital Dr
City
State
Zip
99508-4615
Phone Number
478-765-4132
Fax Number
person
Provider Business Mailing Address Details
Address
350 Hospital Dr
City
State
Zip
99519-6276
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
794 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
License No.
RN182787 (Georgia)
Definition
Definition to come...
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