Individual
LACY SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2102 W LOOP 289 APT 174, LUBBOCK, TX 79407-1787
(806) 420-8940
Mailing address
2102 W LOOP 289 APT 174, LUBBOCK, TX 79407-1787
(806) 420-8940
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332754
TX
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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