Individual
MRS. LACEY DANIELLE KEETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1643 CARTER STREET, SUITE #1, VIDALIA, LA 71373
(318) 336-8707
(318) 336-8876
Mailing address
1643 CARTER STREET, SUITE #1, VIDALIA, LA 71373
(318) 336-8707
(318) 336-8876
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09734
LA
363LF0000X
Family Nurse Practitioner
R872599
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2460561
—
LA
Enumeration date
09/12/2012
Last updated
10/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us