Individual
ALEXIS MAY LACERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3885 DOWLEN RD, BEAUMONT, TX 77706-6604
(409) 924-7570
Mailing address
4215 N MAJOR DR APT 913, BEAUMONT, TX 77713-9628
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00210750175053537299
DRIVER'S LICENSE
TX
Enumeration date
06/28/2018
Last updated
06/28/2018
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