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

Lacy Kennedy Eaton, PA

Individual provider Pediatrics Physician · NPI 1245514785

Lacy Kennedy Eaton, PA is a Pediatrics Physician in Longview, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3564 N Fourth St Ste A
Longview, TX 75605-0039
Phone: (903) 230-3311
Fax: (903) 230-3312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3564 N Fourth St Ste B, Longview, TX 75605-0039 — (903) 231-3144

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07377 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence PA07377 (TX)

Record details

NPI number1245514785
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 3, 2011
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

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