Individual
HEATHER M LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2150 CEDAR ST, ABILENE, TX 79601-2332
(325) 677-6067
Mailing address
3424 S 23RD ST, ABILENE, TX 79605-5750
(325) 370-7888
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1048574
TX
Other
Enumeration date
11/03/2021
Last updated
08/27/2024
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