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1083056915
LACEY WHATLEY VASILAKIS
LAKE CHARLES, LA
NPI
1083056915
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Former Name
LACEY J WHATLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA AP07810)
Enumeration Date
2013-07-19
Last Update Date
2022-04-28
Business Address
LACEY WHATLEY VASILAKIS FNP-C
2770 3RD AVE STE 210
LAKE CHARLES, LA 70601-0404
Phone number: 337-494-6768
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Mailing Address
LACEY WHATLEY VASILAKIS FNP-C
PO BOX 122579 DEPT 2579
DALLAS, TX 75312-2579
Phone number: 337-494-2921
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