Individual
MRS. LISA LATO BIANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6251 PERKINS RD STE C, BATON ROUGE, LA 70808-4167
(225) 389-6251
Mailing address
1330 CHARMAINE AVE, BATON ROUGE, LA 70806-7715
(225) 202-7685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015078
LA
Other
Enumeration date
08/01/2013
Last updated
06/22/2022
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