Individual
MS. LACY MILLET BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
214 CLINIC DR, DONALDSONVILLE, LA 70346-4309
(225) 765-5500
(225) 473-4406
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0018
(225) 765-9468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08361
LA
Other
Enumeration date
07/19/2015
Last updated
11/05/2025
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