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Individual

MS. LACEY NICOLE SANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4438 CENTERVIEW, SAN ANTONIO, TX 78228-1440
(210) 280-0040
(210) 280-0060
Mailing address
4438 CENTERVIEW, SAN ANTONIO, TX 78228-1440
(210) 280-0040
(210) 280-0060

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1056684
TX

Other

Enumeration date
10/12/2021
Last updated
12/31/2025
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