Individual
CARLEE THERIOT CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4345 NELSON RD STE 101, LAKE CHARLES, LA 70605-4183
(337) 480-7942
(337) 494-7964
Mailing address
PO BOX 122165 DEPT 2165, DALLAS, TX 75312-0001
(373) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11040195
FL
363LF0000X
Family Nurse Practitioner
Primary
210944
LA
Other
Enumeration date
01/08/2020
Last updated
06/20/2025
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