| Doctor Name: | MRS. KRISTINA SMITH LACAZE |
| NPI Number: | 1578794046 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | RN100970 AP05889 |
| Business Practice Address: | 712 Westbank Expy Westwego, LA - 700944400 |
| Business Phone Number: | 5043407744 |
| Business Fax Number: | 5043407920 |
| Mailing Address: | Po Box 1819, MARRERO |
| State: | LA |
| Postal Code: | 700731819 |
| Phone Number: | 5043406711 |
| Fax Number: | 5043483935 |
| NPI Enumeration Date: | 08/02/2009 |
| NPI Last Update Date: | 08/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN100970 AP05889 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |