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NPI Code Detail

MEDICARE: MRS. LACEY DUGAS HUNDLEY

MEDICARE:  MRS. LACEY DUGAS HUNDLEY
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
1235Z00000XSpeech-Language Pathologist7214LA

General Provider Information

NPI Number : 1861842791
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LACEY DUGAS HUNDLEY
Provider Business Mailing Address
First Line : 2601 AIRLINE DR
Second Line : APT 311
City : BOSSIER CITY
State : LA
Zip : 71111-5854
Country : US
Telephone Number : 337-962-0778
Fax Number :
Provider Business Practice Location Address
First Line : 2601 AIRLINE DR
Second Line : APT 311
City : BOSSIER CITY
State : LA
Zip : 71111-5854
Country : US
Telephone Number : 337-962-0778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2016
Last Update Date : 06/22/2016

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Directions to “ MRS. LACEY DUGAS HUNDLEY ” Practice Location

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