Individual
LACEY LEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP L-SLP
Contact information
Practice address
9245 LOUIS AVE, DENHAM SPRINGS, LA 70706-2702
(225) 939-5438
Mailing address
9245 LOUIS AVE, DENHAM SPRINGS, LA 70706-2702
(225) 939-5438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6040
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6040
LBESPA
LA
Enumeration date
02/24/2021
Last updated
02/24/2021
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