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1639612013
LACEY HAUSER BYRAM
SHREVEPORT, LA
NPI
1639612013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 303570)
Enumeration Date
2016-12-02
Last Update Date
2019-03-21
Business Address
LACEY HAUSER BYRAM P.A.
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6180
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Mailing Address
LACEY HAUSER BYRAM P.A.
1501 KINGS HWY P.O. BOX 33932
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6180
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