Individual
ALLIE LACOMB RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
105 EMERALD SANDS LN, LAFAYETTE, LA 70508-5266
(337) 692-0836
Mailing address
105 EMERALD SANDS LN, LAFAYETTE, LA 70508-5266
(337) 692-0836
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09174
LA
Other
Enumeration date
08/15/2017
Last updated
10/04/2018
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