Individual
LACIE STELLY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-6565
Mailing address
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810-1685
(225) 769-2200
(833) 756-2680
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
203967
LA
Other
Enumeration date
04/15/2019
Last updated
01/31/2025
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