Individual
LACIE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 S CARROLLTON AVE, NEW ORLEANS, LA 70119-6026
(504) 494-3895
Mailing address
6964 CATINA ST, NEW ORLEANS, LA 70124-2304
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD204608
LA
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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