Edward Dwayne Lacy, LVN

NPI #1477076701 in Tomball, Texas

Provider Information

NPI Number
1477076701
Entity Type
Individual
Name
Edward Dwayne Lacy, LVN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Vocational Nurse
Credential
LVN
Enumeration Date
Jul 19, 2017
Last Updated
Aug 24, 2017

Practice Location

Address
8807 LACY WILLOW CT
State
Texas
ZIP Code
77375-2713
Phone
(832) 919-1509

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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