Lacey Banther, LPN
Individual provider Active NPI Licensed Practical Nurse · Chattanooga, TN
NPI 1609286376 · NPPES record last updated May 5, 2014
Key facts
- NPI
- 1609286376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN-8275166 (TN)
- Practice address
- 3074 Hickory Valley Rd
Chattanooga, TN 37421-1265 - Phone
- (423) 622-1551
- NPI assigned
- May 5, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN-8275166 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN-8275166 | TN | Yes |
Addresses
Primary practice location
3074 Hickory Valley Rd
Chattanooga, TN 37421-1265
Mailing address
PO Box 8114
Chattanooga, TN 37414-0114
Other providers in Chattanooga, TN
- Rachel Dion Banks
- Samuel L Banks
- Sarah Banks
- Philip A Bannor
- Kelli Ruth Banther
- Ashlee Barber
- Brittany Sharp Barber
- Kisha A Barclay
- Upasana Bardhan Chakraborty
- James B Bardoner
All providers in Chattanooga, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.