SearchTexas101YP2500X

Abigail Lacey, MA

NPI 1033794490 · on the registry since 2021

Practice

Address
3613 Williams Dr Ste 302
Georgetown, TX 78628
Phone
(512) 713-9886
Organisation at this address
Trauma Detox Pllc
Smartcare Of Texas
Tony Shallin, Mdpa
Reign Foundation Inc
Trusted Life Care, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Additional practice sites

  • 2100 Scenic Dr Ste 140, Georgetown, TX

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
390200000X
Licence states on file
FL, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas