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Lacie Grubbe, RN,BSN

Registered Nurse, Pediatrics in Austin, TX. Individual provider (NPI-1).

NPI number1982953261
StatusActive
Last updated in NPPESSep 2, 2012

Details

NPI
1982953261
Entity type
Individual (NPI-1)
Name
Lacie Grubbe
Credential
RN,BSN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 2, 2012
Last updated
Sep 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0200X Registered Nurse, Pediatrics786889TXYes

Practice location

5009 Cana Cv
Austin, TX 78749-4687

Phone 918-504-4376

Mailing address

5009 Cana Cv
Austin, TX 78749-4687

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