Basic Information
| Provider Information | |||||||||
| NPI: | 1659794840 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUGARIN | ||||||||
| FirstName: | LACINDA | ||||||||
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| Credential: | MSN-FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2001 N MACARTHUR BLVD | ||||||||
| Address2: | SUITE 520 | ||||||||
| City: | IRVING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750612256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9725798485 | ||||||||
| FaxNumber: | 9725793972 | ||||||||
| Practice Location | |||||||||
| Address1: | 2001 N MACARTHUR BLVD | ||||||||
| Address2: | SUITE 520 | ||||||||
| City: | IRVING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750612256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9725798485 | ||||||||
| FaxNumber: | 9725793972 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2014 | ||||||||
| LastUpdateDate: | 03/29/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 771916 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.