Individual
ANDREW LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7292 HIGHWAY 509, MANSFIELD, LA 71052-6476
(318) 872-5700
Mailing address
7292 HIGHWAY 509, MANSFIELD, LA 71052-6476
(318) 872-5700
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
14081
LA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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