| Mrs Lacy Hicks, CPNP | |
|
2312 Knob Creek Rd Ste 208, Johnson City, TN 37604-2367 | |
| (423) 610-1099 | |
| (423) 246-4300 |
| Full Name | Mrs Lacy Hicks |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 2312 Knob Creek Rd Ste 208, Johnson City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396465621 | NPI | - | NPPES |
| 1376533489 | Other | NPI | |
| 1578856985 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0202X | Pediatrics - Pediatric Cardiology | 1841362555 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lacy Hicks, CPNP 2312 Knob Creek Rd Ste 208, Johnson City, TN 37604-2367 Ph: (423) 610-1099 | Mrs Lacy Hicks, CPNP 2312 Knob Creek Rd Ste 208, Johnson City, TN 37604-2367 Ph: (423) 610-1099 |
John William Schweitzer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 | |
Mrs. Priya Narayanan Jain, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320 | |
Jodi B Gage, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Dr. Demetrio Rebano Macariola Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Karen E Schetzina, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
William Scott Dodd, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Ahmad A Wattad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 |