Individual
MRS. LACI HUCKABY BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, ANP
Contact information
Practice address
1322 ELTON RD, SUITE F, JENNINGS, LA 70546-4100
(337) 824-8868
(337) 824-8840
Mailing address
1322 ELTON RD, SUITE F, JENNINGS, LA 70546-4100
(337) 824-8868
(337) 824-8840
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP06820
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2336801
—
LA
Enumeration date
06/03/2012
Last updated
06/09/2016
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