Guedon, Lacy Fontenot

Guedon, Lacy Fontenot is an individual health care provider with primary practice located at 2104 Loop Rd Ste C , Winnsboro LA 71295-3341. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Guedon, Lacy Fontenot can be contacted via phone (318) 435-6377.

Contact Information

Primary practice address
2104 Loop Rd Ste C Winnsboro LA 71295-3341
Phone: (318) 435-6377
Fax: (318) 435-6378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family 364SP0810X 08776 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP08776 Louisiana

Profile Details

NPI number 1922484757
LBN Legal business name Guedon, Lacy Fontenot
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2015
Last updated Apr 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922484757 NPPES
Louisiana Other 5YJC5 MEDICARE
Louisiana Other 13848326 MEDICARE
Louisiana Other P02474675 MEDICARE
Louisiana MEDICAID 2421751 MEDICARE

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