Individual
DR. LACEY GALLIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2915 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-5700
(225) 296-0212
Mailing address
17845 E AUGUSTA DR, BATON ROUGE, LA 70810-5922
(225) 572-5890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7094
LA
Other
Enumeration date
06/21/2020
Last updated
06/22/2020
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