Individual
DR. LACY VIRGINIA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
200 HENRY CLAY AVE, CHILDREN'S HOSPITAL, NEW ORLEANS, LA 70118-5720
(504) 899-9511
Mailing address
1676 JEFFERSON AVE, NEW ORLEANS, LA 70115-4949
(478) 718-7909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6237
LA
1223P0221X
Pediatric Dentistry
DN013729
GA
Other
Enumeration date
07/08/2008
Last updated
01/02/2013
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