Individual
MS. LISA KAY MOREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3400 AIRLINE DR, BOSSIER CITY, LA 71111-2122
(318) 741-6589
Mailing address
8891 SUGARLAND DR, APT # 18201, SHREVEPORT, LA 71115-2825
(504) 343-3422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14955
LA
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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