Individual
LACEY TRINETTE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
6184 BABIN WILSON ST., CONVENT, LA 70723
(225) 206-4635
Mailing address
6184 BABIN WILSON ST., CONVENT, LA 70723
(225) 206-4635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
114112
LA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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