DEREK D MACKEY

LAFAYETTE, LA
NPI1679685176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  04383)
Enumeration Date2006-08-31
Last Update Date2008-03-28
Business Address
Mr. DEREK D MACKEY CRNA
611 SAINT LANDRY ST
LAFAYETTE, LA 70506-4627
Phone number: 337-289-2966
Mailing Address
Mr. DEREK D MACKEY CRNA
PO BOX 53864
LAFAYETTE, LA 70505-3864
Phone number: 337-289-2966
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