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1366970121
LACEY JANE CLARK
BATON ROUGE, LA
NPI
1366970121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA NA)
Enumeration Date
2017-05-24
Last Update Date
2019-11-21
Business Address
Dr. LACEY JANE CLARK
8300 CONSTANTIN BLVD
BATON ROUGE, LA 70809-3489
Phone number: 225-374-1303
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Mailing Address
Dr. LACEY JANE CLARK
9718 HEAVY ANCHOR LN
HUMBLE, TX 77396-3381
Phone number: 832-644-1970
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