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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LACY JAE WADE

Active

LACY JAE WADE is a Licensed Vocational Nurse healthcare provider located in DIBOLL, Texas. NPI 1669972360 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · DIBOLL, TX

Registration Details

NPI Number
1669972360
Provider Type
Individual
Gender
Female
NPI Issued
Feb 19, 2018 (8.2969483763219 yrs)
Last Updated
Feb 19, 2018
License
233648 (TX)

Practice Information

Address
3457 FM 819
DIBOLL, TX, 759414707
Browse TX providers · Browse ZIP 75941
Phone
9362396055
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in DIBOLL, TX

Name Credential NPI
MRS. HALEY MICHELLE LUNA 1730689704
MS. RASHIDA OLETA FREEMAN 1639651342
PAYGE A CHESHIRE 1639635287
CAITLYN PHILLIPS 1144826157
MRS. BREANNA JADE MASON LVN 1881276855
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.