Provider Demographics
NPI:1053021386
Name:SLAN, LALA LACHEY
Entity type:Individual
Prefix:MRS
First Name:LALA
Middle Name:LACHEY
Last Name:SLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6165 PARKCREST CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6166
Mailing Address - Country:US
Mailing Address - Phone:225-505-7324
Mailing Address - Fax:
Practice Address - Street 1:6165 PARKCREST CT
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6166
Practice Address - Country:US
Practice Address - Phone:225-505-7324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor