- Practice location
- 2710 Oak Rdg, Clifton, TX 76634-1162
- Phone
- 254-978-5224
- Fax
- 502-385-6556
- Last updated
- November 20, 2025
Laci Desirae Waner is a Family Medicine based in Clifton, TX. Laci Desirae Waner practices in Clifton, TX and has the professional credentials of MD. The NPI Number for Laci Desirae Waner is 1487975827 and holds a License No. 0101272445 (VA). The current practice location address for Laci Desirae Waner is 2710 Oak Rdg, Clifton, TX 76634-1162 and can be reached out via phone at 254-978-5224 and via fax at 502-385-6556.
Provider Profile Details
- NPI Number
- 1487975827
- Provider Name
- Laci Desirae Waner
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2710 Oak Rdg, Clifton, TX 76634-1162
- Phone Number
- 254-978-5224
- Fax Number
- 502-385-6556
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Other Names
- Laci Desirae Stephenson (Former Name)
- Provider Enumeration Date
- June 21, 2010
- Last Update Date
- November 20, 2025
- Certification Date
- November 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2710 Oak Rdg
Clifton, TX 76634-1162 - City
- Clifton
- State
- Texas
- Zip
- 76634-1162
- Phone Number
- 254-978-5224
- Fax Number
- 502-385-6556
Provider Business Mailing Address Details
- Address
- 2710 Oak Rdg
Clifton, TX 76634-1162 - City
- Clifton
- State
- TX
- Zip
- 76634-1162
- Phone Number
- 979-575-7936
- Fax Number
- 502-385-6556
License Information
- License Number (1)
- 0101272445
- License State (1)
- VA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 72317
- License State (2)
- CT
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- R1902
- License State (3)
- TX
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
- License Number (4)
- ME143348
- License State (4)
- FL
- Taxonomy (4)
- Family Medicine · 207Q00000X
- License Number (5)
- 2021-01835
- License State (5)
- NC
- Taxonomy (5)
- Family Medicine · 207Q00000X
- License Number (6)
- 2021036991
- License State (6)
- MO
- Taxonomy (6)
- Family Medicine · 207Q00000X
- License Number (7)
- 29766
- License State (7)
- OK
- Taxonomy (7)
- Family Medicine · 207Q00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Clifton, TX
View all Family Medicine providers in Clifton →Frequently Asked Questions
What is the NPI number of Dr. Laci D Waner, MD?
The NPI number of Dr. Laci D Waner, MD is 1487975827. It was assigned on June 21, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Laci D Waner, MD?
Dr. Laci D Waner, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VA under license number 0101272445.
Where does Dr. Laci D Waner, MD practice?
The practice location is 2710 Oak Rdg, Clifton, TX 76634-1162. The office can be reached at 254-978-5224 (phone) or 502-385-6556 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487975827 directly on the NPPES registry website.