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Tequila Lacy

NPI 1073187324 · on the registry since 2021

Practice

Address
2808 Fox Meadow Lane
Jonesboro, AR 72404
Phone
(870) 932-4245
Fax
(870) 931-4457
Clinicians at this address
41

Registry record

Primary taxonomy
106S00000X
106S00000X
Also registered as
174400000X
Sex
Female
Record last updated
2024-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas