Lacy, Susan Northern

Lacy, Susan Northern is an individual health care provider with primary practice located at 6401 Poplar Ave Ste 530 , Memphis TN 38119-4840. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Lacy, Susan Northern can be contacted via phone (901) 767-9368.

Contact Information

Primary practice address
6401 Poplar Ave Ste 530 Memphis TN 38119-4840
Phone: (901) 767-9368
Fax: (901) 767-9496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 28143 Tennessee

Profile Details

NPI number 1710998729
LBN Legal business name Lacy, Susan Northern
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Nov 1st, 2019 - about 6 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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