Individual
DOMINIECE LACROIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3616 LOYOLA DRIVE, 271, KENNER, LA 70065
(504) 913-0403
Mailing address
3616 LOYOLA DR, 271, KENNER, LA 70065
(504) 913-0403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09070
LA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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