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Contact Information

LACY F GUEDON, PMHNP
2104 LOOP RD STE C
WINNSBORO, LA71295-3341
 Phone: 318-435-6377
 Fax: 318-435-6378
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Child & Family

364SP0810X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for LACY F GUEDON · (Female)

NPI Number 1922484757
Status Active
Credentials PMHNP
Entity Individual
Enumeration date 08/04/2015
Last updated 04/07/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 08776
  • LA License # AP08776
  • LA Medicaid 2421751
  • Other 13848326 CAQH
  • LA Other 5YJC5 MEDICARE
  • LA Other P02474675 RR MEDICARE
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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