Individual
CRAIG LAVESPERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
104 W LINE AVE, RUSTON, LA 71270-5044
(318) 255-7363
(318) 255-7365
Mailing address
807 GLENMAR AVE, MONROE, LA 71201-5337
(318) 308-0606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023437
LA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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