Individual
LACY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
2237 S JACKSON ST, SAN ANGELO, TX 76904-5131
(325) 481-2257
(325) 481-2023
Mailing address
254 ROBIN HOOD TRL, SAN ANGELO, TX 76901-4819
(512) 755-4345
(325) 481-2023
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT3650
TX
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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