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Contact Information

LACEY A ANDREOTTA, DDS
7301 WESTBANK EXPY
MARRERO, LA70072-2448
 Phone: 504-347-1014
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LACEY A ANDREOTTA · (Female)

NPI # 1144668856
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/05/2013
Last updated 04/29/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 6350
  • LA Medicaid 1863505
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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