Individual
MRS. LACEY WOOD MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7777 HENNESSY BLVD STE 409, BATON ROUGE, LA 70808-4365
(225) 765-5864
(225) 765-5500
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5864
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
224374
LA
363LA2200X
Adult Health Nurse Practitioner
Primary
224374
LA
363LG0600X
Gerontology Nurse Practitioner
224374
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2584448
—
LA
Enumeration date
04/11/2022
Last updated
01/10/2025
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