Individual
LACRESHA CLAY EARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 NORTHPARK DRIVE, MONROE, LA 71203
(318) 600-3456
(318) 600-3456
Mailing address
903 WARREN DR, STE B, WEST MONROE, LA 71291-7158
(318) 217-6521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213885
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2133385
LA
Other
Enumeration date
07/01/2020
Last updated
10/31/2023
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