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Individual

MS. ENA LACY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN FNP-C

Contact information

Practice address
17000 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3246
(225) 752-2470
Mailing address
18010 BRENNAN AVE, PRAIRIEVILLE, LA 70769-3972
(803) 629-0600

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08527
LA

Other

Enumeration date
11/06/2015
Last updated
11/06/2015
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