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Individual

MRS. LINDSEY R RACCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.D.

Contact information

Practice address
924 REES ST, BREAUX BRIDGE, LA 70517-4514
(337) 332-6339
(337) 332-5884
Mailing address
924 REES ST, BREAUX BRIDGE, LA 70517-4514
(337) 332-6339
(337) 332-5884

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18556
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2121545
LA
Enumeration date
08/16/2010
Last updated
10/23/2012
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