Individual
MRS. LATOSHA BABINEAUX MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1960 TYBEE LN, LAKE CHARLES, LA 70605-4173
(337) 421-0090
Mailing address
1960 TYBEE LN, LAKE CHARLES, LA 70605-4173
(337) 421-0090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209233
LA
Other
Enumeration date
11/26/2019
Last updated
07/30/2020
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