Individual
STACY LEE TEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
404 E PRIEN LAKE RD, LAKE CHARLES, LA 70601-8507
(337) 436-7216
Mailing address
404 E PRIEN LAKE RD, LAKE CHARLES, LA 70601-8507
(337) 436-7216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17414
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205587
—
LA
Enumeration date
11/03/2020
Last updated
11/03/2020
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