AQUARIUS M LACEY RN
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1407592074- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN
- Status
- Active
Contact & Location
- Address
- 39104 PRAIRIE SOUTH DR, GONZALES, LA, 707379510
- Phone
- (225) 400-1376
Specialties & Taxonomies
Registered Nurse, Community Health
License: LA #20130166
Registered Nurse, Home Health
License: LA #20130166
Registered Nurse
Primary License: LA #20130166