Dr LACEY DANIELLE KEETH is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.
CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NO. 1
204 SERIO BLVD
FERRIDAY
LA
713342015
Tel: 3187578010
| Npi | 1679823090 |
| Pac Id | 5698035707 |
| Professional Enrollment Id | I20180212000289 |
| Last Name | KEETH |
| First Name | LACEY |
| Middle Name | DANIELLE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NO. 1 |
| Group Practice Pac Id | 4587559935 |
| Number Of Group Practice Members | 10 |
| Line 1 Street Address | 204 SERIO BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FERRIDAY |
| State | LA |
| Zip Code | 713342015 |
| Phone Number | 3187578010 |
| Hospital Affiliation Ccn 1 | 191318 |
| Hospital Affiliation Lbn 1 | RIVERLAND MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 250084 |
| Hospital Affiliation Lbn 2 | MERIT HEALTH NATCHEZ |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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