Lacey Banther, LPN
Licensed Practical Nurse in Chattanooga, TN. Individual provider (NPI-1).
NPI number1609286376
StatusActive
Last updated in NPPESMay 5, 2014
Details
- NPI
- 1609286376
- Entity type
- Individual (NPI-1)
- Name
- Lacey Banther
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 5, 2014
- Last updated
- May 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN-8275166 | TN | Yes |
Practice location
3074 Hickory Valley RdChattanooga, TN 37421-1265
Phone 423-622-1551
Mailing address
Po Box 8114Chattanooga, TN 37414-0114
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All 74 Licensed Practical Nurse providers in Chattanooga · All 9,197 providers in Chattanooga
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