Individual
DR. RAVEN LEMAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6130 JOHNSTON ST, LAFAYETTE, LA 70503
(337) 984-1057
(337) 984-1127
Mailing address
6130 JOHNSTON ST, LAFAYETTE, LA 70503
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18911
LA
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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