Individual
JOHN ALLEN LOUSTALOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 1894, MORGAN CITY, LA 70381-1894
(337) 940-1139
Mailing address
PO BOX 1894, MORGAN CITY, LA 70381-1894
(337) 940-1139
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
011086626
LA
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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