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 Date2014-03-17
Business Address
Dr. STACY D CONVILLE MD
1809 NORTHPOINT LANE SUITE 102
RUSTON, LA 71270
Phone number: 318-251-8232
Mailing Address
Dr. STACY D CONVILLE MD
401 E VAUGHN AVE
RUSTON, LA 71270-5950
Phone number: 318-251-8232
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