Individual
STACEE LEATRICE LACOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2200 N BOLTON AVE, ALEXANDRIA, LA 71303-4407
(318) 693-1311
Mailing address
2200 N BOLTON AVE, ALEXANDRIA, LA 71303-4407
(318) 693-1311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
228933
LA
Other
Enumeration date
03/28/2023
Last updated
04/24/2023
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