Healthcare Provider Details

I. General information

NPI: 1841676129
Provider Name (Legal Business Name): STACEY LACOMBE ARMAND FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STACEY LACOMBE CAUSEY

II. Dates (important events)

Enumeration Date: 08/10/2015
Last Update Date: 07/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CONCORDIA PARISH HEALTH UNIT/OFFICE OF PUBLIC HEALTH 905 MICKEY GILLEY AVE.
FERRIDAY LA
71334
US

IV. Provider business mailing address

5604 A COLISEUM BLVD. RAPIDS PARISH HEALTH UNIT/OFFICE OF PUBLIC HEALTH
ALEXANDRIA LA
71303
US

V. Phone/Fax

Practice location:
  • Phone: 318-757-8632
  • Fax: 318-757-7654
Mailing address:
  • Phone: 318-487-5270
  • Fax: 318-487-5557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP08294
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: