Individual
LACY MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EIS
Contact information
Practice address
1709 10TH ST, WICHITA FALLS, TX 76301-5010
(940) 500-8999
(940) 696-6210
Mailing address
PO BOX 8266, WICHITA FALLS, TX 76307-8266
(940) 500-8999
(940) 696-6210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Enumeration date
09/01/2006
Last updated
02/22/2017
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