Individual
LACIE L DEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-3094
Mailing address
DEPT AT 952544, ATLANTA, GA 31192-2544
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP07484
LA
Other
Enumeration date
08/01/2013
Last updated
08/24/2016
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