Mcclure, Lacey Lynn

Mcclure, Lacey Lynn is an individual health care provider with primary practice located at 110 E Medical Center Blvd , Webster TX 77598-4301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mcclure, Lacey Lynn can be contacted via phone (832) 224-9500.

Contact Information

Primary practice address
110 E Medical Center Blvd Webster TX 77598-4301
Phone: (832) 224-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1029696 Texas

Profile Details

NPI number 1790377687
LBN Legal business name Mcclure, Lacey Lynn
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2021
Last updated Dec 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790377687 NPPES
Texas MEDICAID 424368502
Texas MEDICAID 424368501
Texas Other 8PW475

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