Individual
MRS. LACEY LYNN MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
110 E MEDICAL CENTER BLVD, WEBSTER, TX 77598-4301
(832) 224-9500
Mailing address
18333 EGRET BAY BLVD STE 140, HOUSTON, TX 77058-3239
(281) 332-3001
(281) 332-3005
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1029696
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424368501
—
TX
05
—
424368502
—
TX
01
—
8PW475
BCBS
TX
Enumeration date
02/11/2021
Last updated
12/13/2023
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