Individual
JULIA ANN LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8210 FLOYD CURL DR # 8122, SAN ANTONIO, TX 78229-3923
(210) 450-3715
Mailing address
6824 TERRA RYE, SAN ANTONIO, TX 78240-2757
(262) 215-8072
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
ETN784
TX
Other
Enumeration date
07/23/2020
Last updated
04/26/2024
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