Individual
LACEY MCKERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2575 AIRLINE DR, BOSSIER CITY, LA 71111-5812
(318) 746-7466
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08645
LA
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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