Organization
LACY COKER KESSLER, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH J ELLIOTT (OFFICE MANAGER)
(254) 420-0002
Entity
Organization
Contact information
Practice address
2420 WYCON DR STE 403, WACO, TX 76712-8988
(254) 420-0002
Mailing address
2420 WYCON DR, SUITE 403, WACO, TX 76712-8987
(254) 420-0002
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P2879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3064149-01
—
TX
Enumeration date
05/30/2012
Last updated
01/20/2025
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