Individual
MRS. LORI JEFFERSON TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 HENNESSY BLVD STE 114, BATON ROUGE, LA 70808-4363
(225) 765-8951
(225) 765-3472
Mailing address
7777 HENNESSY BLVD STE 114, BATON ROUGE, LA 70808-4363
(225) 765-8951
(225) 765-3472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16873
LA
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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