Individual
LUCY DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1809 NORTHPOINTE LN, SUITE 203, RUSTON, LA 71270-3853
(318) 255-3223
(318) 255-3181
Mailing address
1809 NORTHPOINTE LN, SUITE 203, RUSTON, LA 71270-3853
(318) 255-3223
(318) 255-3181
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP06950
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094105
RN
LA
01
—
AP06950
NURSE PRACTITIONER
LA
Enumeration date
08/21/2012
Last updated
08/21/2012
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