Individual
MS. LACEY DIONNE ANGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4402
(214) 345-6789
Mailing address
1089 W EXCHANGE PKWY APT 6110, ALLEN, TX 75013-7050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1095421
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1095421
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2022
Last updated
02/06/2023
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