Louisiana
Board of Licensing
Macip Stacey Ann
Medical
License number
MD.205841
Date expires
08/31/2015
Class
Medical
Status
Active
Address
4801 Ambassador Caffery Pkwy, Lafayette, LA 70508
louisianalicensing.com
ID 21940736
LAST UPDATED 2026-04-24 17:13:42 UTC
LAST UPDATED 2026-04-24 17:13:42 UTC