STACY D CONVILLE

RUSTON, LA
NPI1497702880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  026106)
Enumeration Date2006-05-30
Last Update Date2026-03-02
Business Address
Dr. STACY D CONVILLE MD
902 S VIENNA ST
RUSTON, LA 71270-5830
Phone number: 318-551-4311
Mailing Address
Dr. STACY D CONVILLE MD
902 S VIENNA ST
RUSTON, LA 71270-5830
Phone number: 318-551-4355
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