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NPI Code Detail

MEDICARE: CHRISTOPHER LACEFIELD

MEDICARE: CHRISTOPHER LACEFIELD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401015617MI

General Provider Information

NPI Number : 1578008058
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER LACEFIELD
Provider Business Mailing Address
First Line : 2836 AMELIA ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-6804
Country : US
Telephone Number : 504-579-2800
Fax Number :
Provider Business Practice Location Address
First Line : 2521 JENA ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-6322
Country : US
Telephone Number : 504-434-0918
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2016
Last Update Date : 08/30/2023

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Directions to “ CHRISTOPHER LACEFIELD ” Practice Location

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