LACY R STARK

FORT WORTH, TX
NPI1922510205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  AP135511)
Enumeration Date2017-10-26
Last Update Date2024-04-29
Business Address
LACY R STARK PA
1307 8TH AVE SUITE 608
FORT WORTH, TX 76104-4140
Phone number: 817-921-4191
Mailing Address
LACY R STARK PA
1307 8TH AVE SUITE 608
FORT WORTH, TX 76104-4140
Phone number: 817-921-4191
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