Individual
LACEY BROWN ENCLARDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
625 CONVENTION ST APT 313, BATON ROUGE, LA 70802-5641
(225) 802-3164
Mailing address
625 CONVENTION ST APT 313, BATON ROUGE, LA 70802-5641
(225) 802-3164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
234839
LA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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