Individual
MRS. GALYN RENEE LACEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
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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