Lacey Mathilda Godeaux, M.D.
Anesthesiology in Covington, LA. Individual provider (NPI-1).
NPI number1720241276
StatusActive
Last updated in NPPESDec 20, 2016
Details
- NPI
- 1720241276
- Entity type
- Individual (NPI-1)
- Name
- Lacey Mathilda Godeaux
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2008
- Last updated
- Dec 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 205372 | LA | Yes |
| 207L00000X | Anesthesiology | LL30817 | SC |
Practice location
1202 S Tyler StCovington, LA 70433-2330
Phone 985-892-3225 · Fax 985-892-7677
Mailing address
120 Innwood DrCovington, LA 70433-9123
Phone 985-892-3225
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