Individual
AMY ELIZABETH CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
310 GASLIGHT BLVD, LUFKIN, TX 75904-3133
(936) 632-8787
Mailing address
136 LAZYBROOK, HUNTINGTON, TX 75949-8847
(936) 553-1021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1072486
TX
Other
Enumeration date
03/09/2022
Last updated
11/18/2024
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