Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacey Lillian Aguero, LSA

Individual provider Surgical Physician Assistant · NPI 1679958680

Lacey Lillian Aguero, LSA is a Surgical Physician Assistant in Live Oak, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
Specialties on file
2

Practice location Address checks out

12602 Toepperwein Rd Ste 208
Live Oak, TX 78233-3271
Phone: (210) 878-0090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00674 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1679958680
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSA
Sole proprietorYes
NPI enumeratedJuly 21, 2015
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022