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1255996104
AMANDA RENE LACY
AMARILLO, TX
NPI
1255996104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 756225)
Enumeration Date
2019-05-07
Last Update Date
2019-06-10
Business Address
AMANDA RENE LACY FNP
1901 MEDI PARK DR STE 1068
AMARILLO, TX 79106-2108
Phone number: 806-576-1095
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Mailing Address
AMANDA RENE LACY FNP
1007 PAGODA DR
AMARILLO, TX 79110-2637
Phone number: 806-206-5115
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