Individual
LANELLE RENE MICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1513 MOTHERWELL DR, SEGUIN, TX 78155-2924
(830) 433-2900
Mailing address
1513 MOTHERWELL DR, SEGUIN, TX 78155-2924
(830) 433-2900
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344282
TX
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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