Mrs. Lacey Angelle Thomas
Nurse Practitioner - Neonatal
Pediatrix-4600 Ambassador Caffery
Lafayette
, Louisiana 70508
Mrs. Lacey Angelle Thomas
Nurse Practitioner - Neonatal
Pediatrix-4600 Ambassador Caffery
Lafayette
, Louisiana 70508
(337) 224-6482
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Mrs. Lacey Angelle Thomas
- Pediatrix-P.o. Box 60612
- Lafayette, LA
- Zip : 70596-0612
- Phone : (337) 224-6482
Second Address
- Mrs. Lacey Angelle Thomas
- Pediatrix-4600 Ambassador Caffery
- Lafayette, LA
- Zip : 70508
- Phone : (337) 981-9316
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | AP07765 | LA |
National Provider Identifier
| NPI | 1174946032 |
|---|---|
| Provider Name | Mrs. Lacey Angelle Thomas |
| First Address | Lafayette, LA 70596-0612 |
| Second Address | Lafayette, LA 70508 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2014 |
| Last Update Date | 03/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2371525 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.