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Individual
DR. STACEY LAGRAIZE
Active
Individual
DR. STACEY LAGRAIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. D. S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6595
LA
Other
Enumeration date
11/18/2014
Last updated
11/22/2015
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