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Individual

DR. LACEY JANE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 374-1303
Mailing address
9718 HEAVY ANCHOR LN, HUMBLE, TX 77396-3381
(832) 644-1970

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
NA
LA

Other

Enumeration date
05/24/2017
Last updated
11/21/2019
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