Individual
MR. LAWRENCE C JUSTICE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1606 KINGS HWY, SHREVEPORT, LA 71130-4128
(318) 813-1815
(318) 813-1811
Mailing address
3048 LINDHOLM ST, SHREVEPORT, LA 71108-2614
(318) 813-1815
(318) 813-1811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14448
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161733
—
LA
01
—
MA.001644
MEDICATION ADMINISTRATION
—
Enumeration date
04/18/2007
Last updated
08/17/2022
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