Organization
DYNAMIC HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY MEEKS (NP/OWNER)
(806) 481-7000
Entity
Organization
Contact information
Practice address
912 W 21ST ST, CLOVIS, NM 88101-4154
(575) 935-9000
(575) 935-1002
Mailing address
912 W 21ST ST, CLOVIS, NM 88101-4154
(575) 935-9000
(575) 935-1002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
04/19/2021
Last updated
10/05/2021
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