Individual
LACEY JACKSON TEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4214 TEXAS BLVD, TEXARKANA, TX 75503-3013
(903) 793-0691
(903) 794-2046
Mailing address
4214 TEXAS BLVD, TEXARKANA, TX 75503-3013
(903) 793-0691
(903) 794-2046
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80404
STATE COMMISSION OF EXAMINERS FITTING & DISPENSING HEARING AIDS
TX
Enumeration date
08/06/2010
Last updated
08/06/2010
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