Individual
AUDREY APRIL LACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11800 ASTORIA BLVD, HOUSTON, TX 77089-6041
(281) 929-6100
Mailing address
11920 ASTORIA BLVD STE 320, HOUSTON, TX 77089-6097
(281) 484-9369
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1059814
TX
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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