Lacey Lillian Aguero, LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00674 Issued in TX

Practice address

12602 Toepperwein Rd Ste 208
Live Oak, TX 78233-3271

Phone

(210) 878-0090

NPI assigned

Jul 21, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lacey L. Aguero

  • Surgical Physician Assistant
  • San Antonio, TX
  • NPI 1275066227

  Surgical

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1679958680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD STE 208",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333271",
            "telephone_number": "210-878-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD STE 208",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333271",
            "telephone_number": "210-878-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUERO",
        "first_name": "LACEY",
        "middle_name": "LILLIAN",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regi S Abraham, MSW,ACSW,LCSW
• Shaniece Adams, LPC
• Advanced Integrated Medicine PLLC
• Agilitas USA Inc.
• Amlis Aguilar, M.S., CCC-SLP
• Osama Iqbal Ahmed, MD
• Ryan J Ahr, PA-C
• Oyindamola Stella Akinkugbe
• Alamo Childrens Heart Center, PA

• All providers in Live Oak, TX
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.