Wade, Lacy Jae

Wade, Lacy Jae is an individual health care provider with primary practice located at 3457 Fm 819 , Diboll TX 75941-4707. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Wade, Lacy Jae can be contacted via phone (936) 239-6055.

Contact Information

Primary practice address
3457 Fm 819 Diboll TX 75941-4707
Phone: (936) 239-6055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 233648 Texas

Profile Details

NPI number 1669972360
LBN Legal business name Wade, Lacy Jae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2018
Last updated Feb 19th, 2018 - about 7 years ago

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.

Request for update

Popular Providers