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Individual
LACI NICOLE JOHNSON
Active
Individual
LACI NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM, RDMS
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1000446
TX
2471S1302X
Sonography Radiologic Technologist
169948
TX
2471V0105X
Vascular Sonography Radiologic Technologist
169948
TX
367A00000X
Advanced Practice Midwife
Primary
1000446
TX
Other
Enumeration date
01/20/2025
Last updated
05/19/2025
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