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:
Health care specialties
| Specialty | Code | License # | 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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