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

Lacy Jae Wade

Individual provider Licensed Vocational Nurse · NPI 1669972360

Lacy Jae Wade is a Licensed Vocational Nurse in Diboll, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

3457 Fm 819
Diboll, TX 75941-4707
Phone: (936) 239-6055
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 233648 (TX)

Record details

NPI number1669972360
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2018
Last updated in NPPESFebruary 19, 2018
Mailing address3457 Fm 819, Diboll, TX 75941-4707

Other providers in Diboll