Search › Louisiana › 363LP0200X
Alicia Nicklas, NP
NPI 1487188256 · on the registry since 2017 · sole proprietor
Practice
- Address
- 104 Genevieve Dr
Lafayette, LA 70503 - Phone
- (337) 984-0110
- Fax
- (337) 981-7210
- Organisation at this address
- Manuel Medical Clinic, Inc.
Pediatric Clinic Of Lafayette LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana