Individual
NICOLE LACROIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 W BROAD ST STE 850, LAKE CHARLES, LA 70601-4394
(318) 310-8500
Mailing address
95 DRYDEN RD, BALL, LA 71405-9415
(318) 446-0447
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8211
LA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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