Conry, Lacy Johnson

Conry, Lacy Johnson is an individual health care provider with primary practice located at 3045 Kate Bond Rd , Bartlett TN 38133-4004. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Conry, Lacy Johnson can be contacted via phone (901) 641-3000.

Contact Information

Primary practice address
3045 Kate Bond Rd Bartlett TN 38133-4004
Phone: (901) 641-3000
Fax: (901) 373-3804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3316 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3316 Tennessee

Profile Details

NPI number 1205356565
LBN Legal business name Conry, Lacy Johnson
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2017
Last updated Apr 20th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205356565 NPPES
Tennessee Other 1136210 NCCPA
Tennessee Other 3316 NCCPA

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