Individual
LACRITA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
23363 S ROBIN RD, MANDEVILLE, LA 70448-7381
(985) 624-4100
(985) 624-4123
Mailing address
PO BOX 37, MANDEVILLE, LA 70470-0037
(985) 624-4100
(985) 624-4173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20100721
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20100721
NURSING LICENSE NUMBER
LA
Enumeration date
06/24/2015
Last updated
03/12/2024
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