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Amanda Rene Lacy, FNP
Family Nurse Practitioner in Amarillo, Texas
NPI 1255996104

Amanda Rene Lacy is a Family Nurse Practitioner based in Amarillo, TX and is specialized in Family. Amanda Rene Lacy practices in Amarillo, TX and has the professional credentials of FNP. The NPI Number for Amanda Rene Lacy is 1255996104 and holds a License No. 756225 (Texas).

The current practice location address for Amanda Rene Lacy is 1901 Medi Park Dr Ste 1068, Amarillo, TX and can be reached out via phone at 806-576-1095.

Location: 1901 Medi Park Dr Ste 1068, Amarillo, TX, 79110-2637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255996104
Provider Name
Amanda Rene Lacy
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1901 Medi Park Dr Ste 1068, Amarillo, TX, 79110-2637
Phone Number
806-576-1095
Fax Number
Provider Enumeration Date
05/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1901 Medi Park Dr Ste 1068
City
Amarillo
State
Texas
Zip
79106-2108
Phone Number
806-576-1095
Fax Number
person
Provider Business Mailing Address Details
Address
1901 Medi Park Dr Ste 1068
City
Amarillo
State
Texas
Zip
79106-2108
Phone Number
806-576-1095
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
756225 (Texas)
Definition
Definition to come...
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