Individual
MR. LANCE PAUL WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN,FNP-BC AGACNP-BC
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 447-5500
Mailing address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 447-5500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
226510
LA
Other
Enumeration date
07/25/2022
Last updated
07/28/2022
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