Individual
LACY JAYE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
501 SHIRLEY ST, DERIDDER, LA 70634-3859
(337) 436-3813
(337) 439-0214
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8384
(337) 312-6707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223145
LA
363LF0000X
Family Nurse Practitioner
RN147217
LA
Other
Enumeration date
11/15/2021
Last updated
03/15/2023
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