Individual
LACEY CUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5817 PATTON ST STE 101, CORPUS CHRISTI, TX 78414-2428
(361) 992-9383
(361) 992-9543
Mailing address
PO BOX 61160, CORPUS CHRISTI, TX 78466-1160
(361) 884-2904
(361) 884-1912
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP136549
TX
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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