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LACY STARK, PA
PA
Nurse Practitioner
NPI: 1922510205IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
AP135511(TX)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2017
Contact & Hours
- Address
- 1307 8TH AVE, #408
FORT WORTH, TX 76104 - Phone
- (817) 921-4191
Quick Facts
- NPI
- 1922510205
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 9
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