Individual
TIFFANY LANE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 HEYMANN BLVD, LAFAYETTE, LA 70503-2322
(337) 504-4279
Mailing address
413 MAGNOLIA KNEE DR, CARENCRO, LA 70520-6280
(337) 351-1494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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