Provider Demographics
NPI:1629239579
Name:KESSLER, LACY COKER (MD)
Entity Type:Individual
Prefix:
First Name:LACY
Middle Name:COKER
Last Name:KESSLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 WENDY LN
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-2013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2420 WYCON DR
Practice Address - Street 2:SUITE 403
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8987
Practice Address - Country:US
Practice Address - Phone:254-420-0002
Practice Address - Fax:254-235-2443
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2879207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology