LACIE STAFFORD MOORE

LAFAYETTE, LA
NPI1760767610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.200503)
Enumeration Date2011-10-11
Last Update Date2018-03-17
Business Address
Mrs. LACIE STAFFORD MOORE PA-C
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6902
Phone number: 337-521-9127
Mailing Address
Mrs. LACIE STAFFORD MOORE PA-C
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6902
Phone number: 337-521-9127
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