Individual provider · Type 1 NPI
Lacy Pitchford, CPNP
Primary Care Nurse Practitioner · Fort Worth, TX
NPI number
1003235672
Active
Practice location
1263 W Rosedale St Ste 200
Fort Worth, TX 76104-2837
Fax (817) 332-2805
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 684218 (TX) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | AP125452 (TX) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1003235672
Lacy Pitchford, CPNP's National Provider Identifier is 1003235672, issued on Apr 10, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Worth, TX. The record was last updated on May 8, 2024.