Individual
LACIE NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7716 HICKORY GROVE LOOP, DEVILLE, LA 71328-8211
(318) 792-7162
Mailing address
7716 HICKORY GROVE LOOP, DEVILLE, LA 71328-8211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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