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Individual

LACEY CALLEGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11055 SHOE CREEK DR, BATON ROUGE, LA 70818-4022
(225) 261-4493
Mailing address
15234 BEAUTY BERRY AVE, BATON ROUGE, LA 70817-4627

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09171
LA

Other

Enumeration date
02/23/2017
Last updated
02/23/2017
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