Individual
MRS. LACY CHAMPAGNE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
230 MASONIC DRIVE, INDEPENDENCE, LA 70443
(985) 878-4174
(985) 878-9410
Mailing address
54190 SWEETWATER RD, INDEPENDENCE, LA 70443-2002
(985) 878-0938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06092
LA
363LF0000X
Family Nurse Practitioner
RN106360-AP06092
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2167537
—
LA
Enumeration date
06/03/2010
Last updated
07/03/2025
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