Individual
LACY SWOAPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 NEW COPELAND RD, TYLER, TX 75703-3955
(903) 939-2443
Mailing address
5505 NEW COPELAND RD, TYLER, TX 75703-3955
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2141343
TX
Other
Enumeration date
08/30/2018
Last updated
06/10/2021
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