Individual
AERIS M LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11434 CULEBRA RD, SAN ANTONIO, TX 78253-6164
(210) 870-7339
Mailing address
11434 CULEBRA RD, SAN ANTONIO, TX 78253-6164
(210) 870-7339
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1025684
TX
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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