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Individual

JAN MATHERNE LANTRIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
29148 SOUTH MONTPELIER AVE, ALBANY, LA 70711-0328
(225) 567-1921
(225) 567-1931
Mailing address
PO BOX 328, ALBANY, LA 70711-0328
(225) 567-1921
(225) 567-1931

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PST.011783
LA

Other

Enumeration date
01/31/2018
Last updated
01/31/2018
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