Individual provider · Type 1 NPI

Lacy Johnson Conry, PA

Surgical Physician Assistant · Bartlett, TN

NPI number 1205356565 Active

Practice location

3045 Kate Bond Rd
Bartlett, TN 38133-4004

Fax (901) 373-3804

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5742

Other practice locations

  • 2100 Exeter Rd Ste 200, Germantown, TN 38138-3966 · (901) 641-3000
  • 4515 Poplar Ave Ste 206, Memphis, TN 38117-7506 · (901) 381-4664

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X3316 (TN)
Surgical Physician Assistant Primary 363AS0400X3316 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1205356565

Lacy Johnson Conry, PA's National Provider Identifier is 1205356565, issued on Jun 27, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bartlett, TN. The record was last updated on Apr 20, 2021.