Provider Demographics
NPI:1497986202
Name:CLAWSON, LACEY DAWN (DPM)
Entity Type:Individual
Prefix:DR
First Name:LACEY
Middle Name:DAWN
Last Name:CLAWSON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:2074 ANTILLEY RD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5209
Mailing Address - Country:US
Mailing Address - Phone:325-698-3865
Mailing Address - Fax:257-931-2953
Practice Address - Street 1:6250 REGIONAL PLZ STE 1016
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5223
Practice Address - Country:US
Practice Address - Phone:325-793-5135
Practice Address - Fax:325-793-5136
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX2020213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery