Individual
LACEY GORHAM MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
431 W LAFAYETTE ST, WINNFIELD, LA 71483-3463
(318) 648-0375
(318) 648-0378
Mailing address
265 L SULLIVAN RD, WINNFIELD, LA 71483-6451
(318) 209-9584
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200367
LA
Other
Enumeration date
09/14/2009
Last updated
06/20/2024
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