Individual provider · Type 1 NPI

Lacy Moore, FNP

Family Nurse Practitioner · Wartrace, TN

NPI number 1457682874 Active

About NPI 1457682874

Lacy Moore, FNP's National Provider Identifier is 1457682874, issued on Jan 25, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wartrace, TN. The record was last updated on Sep 28, 2011.