Individual
LACIE MARIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6869 ELMWOOD TRL, GILMER, TX 75645-8255
(903) 424-8570
Mailing address
6869 ELMWOOD TRL, GILMER, TX 75645-8255
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
959361
TX
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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