Individual
TOMMIE LACAZE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 OLIVER RD # J, MONROE, LA 71201-5702
(318) 807-3700
(318) 807-0014
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 998-4295
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
221897
LA
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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