Individual
LACY NICOLE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
608 E PINE ST, MALAKOFF, TX 75148-9542
(903) 681-6248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
886077
TX
Other
Enumeration date
09/16/2024
Last updated
09/24/2024
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