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Individual

LACEY HAUSER BYRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
7925 YOUREE DR STE 200, SHREVEPORT, LA 71105-5134
(318) 212-3610
(318) 212-3709
Mailing address
7925 YOUREE DR STE 200, SHREVEPORT, LA 71105-5134
(318) 212-3610
(318) 212-3709

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
303570
LA

Other

Enumeration date
12/02/2016
Last updated
02/03/2025
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