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Individual

MRS. GALYN RENEE LACEWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM

Contact information

Practice address
662 COMAL AVE, NEW BRAUNFELS, TX 78130-7631
(210) 896-2365
(830) 326-6049
Mailing address
662 COMAL AVE, NEW BRAUNFELS, TX 78130-7631
(210) 896-2365
(830) 326-6049

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99190
TX
176B00000X
Midwife

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
47-3769758
MIDWIFE
TX
Enumeration date
11/01/2013
Last updated
04/19/2018
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