Individual
ROGER CLAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4070 RYAN ST, LAKE CHARLES, LA 70605-2820
(337) 478-5591
(337) 477-2884
Mailing address
4070 RYAN STREET, LAKE CHARLES, LA 70605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11218
LA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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