Individual
LISA DESSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 JACKSON ST, ALEXANDRIA, LA 71301
(318) 448-9340
Mailing address
4444 JACKSON ST, ALEXANDRIA, LA 71301
(318) 448-9340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15563
LA
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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