Individual
LATRICE ELIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4606 LEE ST, ALEXANDRIA, LA 71302-3235
(318) 441-1105
Mailing address
323 ROSEWOOD DR, ALEXANDRIA, LA 71301-6755
(318) 206-7275
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20170659
LA
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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