Individual provider · Type 1 NPI
Lacey Banther, LPN
Licensed Practical Nurse · Chattanooga, TN
NPI number
1609286376
Active
Practice location
3074 Hickory Valley Rd
Chattanooga, TN 37421-1265
Mailing address
PO Box 8114
Chattanooga, TN 37414-0114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LPN-8275166 (TN) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1609286376
Lacey Banther, LPN's National Provider Identifier is 1609286376, issued on May 5, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chattanooga, TN. The record was last updated on May 5, 2014.