Individual
DR. STACEY MACIP RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2180
(337) 470-2677
Mailing address
1888 HUDSON CIR STE 2, MONROE, LA 71201-3547
(337) 470-2180
(337) 470-2677
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.205841
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2317059
—
LA
Enumeration date
08/26/2008
Last updated
12/11/2025
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