Individual
ALICIA MARIE LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, AGACNP
Contact information
Practice address
3537 S I 35 E STE 305, DENTON, TX 76210-6803
(940) 384-4599
(469) 713-0207
Mailing address
2408 INDIAN HEAD DR, FORT WORTH, TX 76177-2068
(817) 996-0522
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1216140
TX
Other
Enumeration date
09/03/2025
Last updated
10/23/2025
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