Healthcare Provider Details

I. General information

NPI: 1346295458
Provider Name (Legal Business Name): LECY L ALBARADO APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 ALFRED ST
SCOTT LA
70583-5117
US

IV. Provider business mailing address

PO BOX 63107
LAFAYETTE LA
70596-3107
US

V. Phone/Fax

Practice location:
  • Phone: 337-504-3697
  • Fax:
Mailing address:
  • Phone: 337-504-3697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN077067 AP04891
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: