Individual
DR. LACEY WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF EMERGENCY MEDICINE, SHREVEPORT, LA 71103-4228
(318) 675-6885
(318) 675-6878
Mailing address
1501 KINGS HWY, DEPARTMENT OF EMERGENCY MEDICINE, SHREVEPORT, LA 71103-4228
(318) 675-6885
(318) 675-6878
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
204852
LA
Other
Enumeration date
04/14/2009
Last updated
09/06/2016
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