Individual
SAMANTHA MARCEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(855) 686-8430
(904) 265-8181
Mailing address
PO BOX 123594, DEPT 3594, DALLAS, TX 75312-3594
(337) 494-2919
(337) 494-3069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08650
LA
Other
Enumeration date
02/18/2016
Last updated
10/18/2016
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