Individual
CARRIE IRENE LASLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 751-4551
(254) 751-4550
Mailing address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 751-4551
(254) 751-4550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1003032
TX
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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