Individual
LACEY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2600 TOWER DR STE 304, MONROE, LA 71201-5783
(318) 966-6320
(318) 966-6321
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-6320
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP07536
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2521543
—
LA
Enumeration date
11/24/2014
Last updated
01/30/2026
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