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MR. IRA JOSEPH LASSEIGNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
108 ACADIA DRIVE, RACELAND, LA 70394
(985) 537-5255
(985) 537-9271
Mailing address
220 CYPRESS ST, RACELAND, LA 70394-2752
(985) 537-0557
(985) 537-9271

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10212
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255629
LA
Enumeration date
03/02/2007
Last updated
07/08/2007
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