Lacey Diane Coffey, APRN
Nurse Practitioner, Family in Duncanville, TX. Individual provider (NPI-1).
NPI number1891334603
StatusActive
Last updated in NPPESJan 10, 2020
Details
- NPI
- 1891334603
- Entity type
- Individual (NPI-1)
- Name
- Lacey Diane Coffey
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 26, 2019
- Certification date
- Jan 10, 2020
- Last updated
- Jan 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP143271 | TX | Yes |
Practice location
407 W Danieldale Rd Ste 100Duncanville, TX 75137-3927
Phone 214-941-3192
Mailing address
504 N Reo StTampa, FL 33609-1013
Phone 813-330-1373 · Fax 813-864-4436
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