LACEY BOUDREAUX

ALVIN C MOREAU JR LICENSED

Dr LACEY BOUDREAUX is a female medical professional, specializing in Physical Therapy. She graduated in 2011.

Contact

ALVIN C MOREAU JR LICENSED

1326 CHURCH ST
ZACHARY
LA
707912743

Tel: 2256548208

LACEY BOUDREAUX Information

Npi 1942574132
Pac Id 0244469658
Professional Enrollment Id I20140206000166
Last Name BOUDREAUX
First Name LACEY
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ALVIN C MOREAU JR LICENSED
Group Practice Pac Id 3173419298
Number Of Group Practice Members 42
Line 1 Street Address 1326 CHURCH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ZACHARY
State LA
Zip Code 707912743
Phone Number 2256548208
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
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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