Individual
LISA VENABLE DOMMERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1422 MACARTHUR DR, ALEXANDRIA, LA 71301-4022
(318) 442-0512
(318) 443-4205
Mailing address
5705 COURTLAND PL, ALEXANDRIA, LA 71301-2665
(318) 664-2852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13719
LA
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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