Individual
MRS. LACEY SPARKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
731792
TX
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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