Most Relevant Information
Provider Data
| NPI Number: | 1003655317 |
| Provider Name: | LACY WILKERSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2024 |
| Last Updated: | 05/24/2024 |
Provider Practice Location
1015 FM 272
CELESTE
TX
754236248
Practice Location Phone/Fax
| Phone: | 6152080663 |
| Fax: |
Provider Mailing Location
1015 FM 272
CELESTE
TX
754236248
Provider Mailing Phone/Fax
| Phone: | 6152080663 |
| Fax: |