Provider Demographics
NPI:1477332344
Name:FLORES, LUCY ELIZABETH (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LUCY
Middle Name:ELIZABETH
Last Name:FLORES
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7734 WATERSEDGE CV
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-4300
Mailing Address - Country:US
Mailing Address - Phone:210-803-5542
Mailing Address - Fax:
Practice Address - Street 1:1701 JACAMAN RD STE 9
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6210
Practice Address - Country:US
Practice Address - Phone:956-777-0483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1126810363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health