Individual
LARAINE LACEY GOESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3604 LIVE OAK ST STE 100, ATTN: LASHUNDA JOHNSON, DALLAS, TX 75204-6169
(214) 358-2300
(214) 366-6330
Mailing address
1420 VICEROY DR, ATTN: LASHUNDA JOHNSON, DALLAS, TX 75235-2208
(214) 358-2300
(214) 366-6127
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00685
TX
Other
Enumeration date
08/17/2006
Last updated
06/30/2011
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