Lacy R Stark, PA

Nurse practitioner in Fort Worth, Texas · NPI 1922510205

Lacy Stark is one of 876 nurse practitioners practicing in Fort Worth, Texas. Lacy Stark practices with Clinical Neuroscience PA and Green Oaks Physical Therapy Limited Partnership.

Registry record (NPPES)

NPI
1922510205
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
1307 8th Ave
Fort Worth, TX 76104-4140
(817) 921-4191
Enumerated
Oct 26, 2017
Record last updated
Apr 29, 2024
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.