Louisiana
Board of Licensing
Lacey William Walter
Medical
License number
CLP.203866-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
Our Lady of the Lake, 5000 Hennessy Blvd., Baton Rouge, LA 70808
louisianalicensing.com
ID 21828501
LAST UPDATED 2024-05-03 02:45:20 UTC
LAST UPDATED 2024-05-03 02:45:20 UTC