NPI 1003647769

More 901 LLC

Organisation Gynecology Physician Memphis, TN

Practice location

Address: 1407 Union Ave STE 1401, Memphis, TN 38104-3667
Phone: (901) 701-1777
Fax: (901) 701-1778

Authorised official

Name: Susan Northern Lacy
Title: Owner MD
Phone: (901) 701-1777

Registered specialties

Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X

Other Obstetrics & Gynecology providers in Tennessee →

Registry record

NPI: 1003647769
Entity type: Organization
NPI issued: 13 Aug 2024
Record last updated: 13 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.