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NPI Code Detail

MEDICARE: LATASHA GRICE

MEDICARE: LATASHA GRICE
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
1363LF0000XFamily Nurse PractitionerAP10159LA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP10159LA

General Provider Information

NPI Number : 1619460870
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATASHA GRICE
Provider Business Mailing Address
First Line : 4012 AVENUE H
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70615-5186
Country : US
Telephone Number : 337-433-3786
Fax Number :
Provider Business Practice Location Address
First Line : 4012 AVENUE H
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70615-5186
Country : US
Telephone Number : 337-433-3785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2018
Last Update Date : 05/08/2026

Similar Medicare Providers

1104871425 — DEPARTMENT OF HEALTH AND HOSPITALS
Practice Location Address:
4012 AVENUE H
LAKE CHARLES, LA
70615-5186
Practice Phone: 337-491-2355
Practice Fax: 337-491-2492
1174563324 — DEPARTMENT OF HEALTH AND HOSPITALS
Practice Location Address:
4012 AVENUE H
LAKE CHARLES, LA
70615-5186
Practice Phone: 337-491-2355
Practice Fax: 337-491-2492
1467481390 — MARGARET MASCOLL LAC, CCGC
Practice Location Address:
4012 AVENUE H
LAKE CHARLES, LA
70615-5186
Practice Phone: 337-491-2355
Practice Fax: 337-491-2492
1023048527 — MS. MELANIE ELAINE LEJEUNE LAC
Practice Location Address:
4012 AVENUE H
LAKE CHARLES, LA
70615-5186
Practice Phone: 337-491-2355
Practice Fax: 337-491-2492
1447530134 — CENIKOR FOUNDATION
Practice Location Address:
4012 AVENUE H
LAKE CHARLES, LA
70615-5186
Practice Phone: 337-491-2355
Practice Fax: 337-491-2492
1508244351 — MELISSA DIANE PIERCE LPC
Practice Location Address:
4012 AVENUE H
LAKE CHARLES, LA
70615-5186
Practice Phone: 318-441-5928
Practice Fax:

Directions to “ LATASHA GRICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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