Individual
AMANDA RENE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1219 EASTWOOD DR, SEGUIN, TX 78155-5133
(830) 379-7777
(713) 730-3692
Mailing address
1908 N LAURENT ST STE 250, VICTORIA, TX 77901-5417
(361) 576-0694
(713) 730-3692
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
756225
TX
Other
Enumeration date
05/07/2019
Last updated
03/09/2026
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