Individual
LACEY N MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
4864 JACKSON STREET, DEPARTMENT OF FAMILY MEDICINE, MONROE, LA 71202-0000
(318) 330-7650
(318) 330-7648
Mailing address
4864 JACKSON STREET, DEPARTMENT OF FAMILY MEDICINE, MONROE, LA 71202-0000
(318) 330-7650
(318) 330-7648
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO04964
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1584941
—
LA
Enumeration date
10/04/2006
Last updated
08/10/2011
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