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Laconia Blalock Bacon, FNP-C
Family Nurse Practitioner in Livingston, Texas
NPI 1144628157

Laconia Blalock Bacon is a Family Nurse Practitioner based in Livingston, TX and is specialized in Family. Laconia Blalock Bacon practices in Livingston, TX and has the professional credentials of FNP-C. The NPI Number for Laconia Blalock Bacon is 1144628157 and holds a License No. AP126832 (Texas).

The current practice location address for Laconia Blalock Bacon is 1930 U S Highway 190 W, Livingston, TX and can be reached out via phone at 936-327-9944.

Location: 1930 U S Highway 190 W, Livingston, TX, 77351-9600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144628157
Provider Name
Laconia Blalock Bacon
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1930 U S Highway 190 W, Livingston, TX, 77351-9600
Phone Number
936-327-9944
Fax Number
Provider Enumeration Date
12/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1930 U S Highway 190 W
City
Livingston
State
Texas
Zip
77351-9600
Phone Number
936-327-9944
Fax Number
person
Provider Business Mailing Address Details
Address
1930 U S Highway 190 W
City
Livingston
State
Texas
Zip
77351-9600
Phone Number
936-327-9944
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP126832 (Texas)
Definition
Definition to come...
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