OrganizationActive
Modern Gynecology and Reproductive Health PC
NPI 1962056036 · Gynecology Physician · Memphis, TN
Provider details
- NPI number
- 1962056036
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Lacy, Physician Owner(901) 289-0915
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1407 Union Ave Ste 1401
Memphis, TN 38104-3667
Phone: (901) 701-1777
Fax: (901) 701-1778
Approximate (ZIP-level) locationGet directions
Mailing address
1407 Union Ave Ste 1401
Memphis, TN 38104-3667
Registry dates
- Enumerated
- 2019-07-27
- Last updated
- 2019-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.