Individual
LACEE MOAK MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
93 TUPELO TRCE, MANDEVILLE, LA 70471-6740
(225) 936-6799
Mailing address
93 TUPELO TRCE, MANDEVILLE, LA 70471-6740
(225) 936-6799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206872
LA
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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