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Individual

MR. VICTOR VANCE CARLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1100 NOLAN TRACE, LEESVILLE, LA 71446
(337) 238-5180
(318) 759-0828
Mailing address
1100 NOLAN TRACE, LEESVILLE, LA 71446
(337) 238-5180
(337) 238-4840

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05193
LA
363LF0000X
Family Nurse Practitioner
AP05193
LA
363LP2300X
Primary Care Nurse Practitioner
AP05193
LA

Other

Enumeration date
06/06/2007
Last updated
05/20/2025
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