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Organization
FAMILY NURSE PRACTITIONER PROFESSIONALS
Active
Organization
FAMILY NURSE PRACTITIONER PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHIA EALY FNP-C (NURSE PRACTITIONER)
(214) 440-6561
Entity
Organization
Contact information
Practice address
9 MEDICAL PKWY STE 308, DALLAS, TX 75234-7855
(214) 440-6561
Mailing address
2813 LAKE VISTA DR, WYLIE, TX 75098-6401
(214) 440-6561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP137442
TX
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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