Individual
LISA MARIE DIMAGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
5400 TCHOUPITOULAS ST, NEW ORLEANS, LA 70115-2020
(504) 899-3992
Mailing address
5859 W END BLVD, NEW ORLEANS, LA 70124-1937
(504) 914-2799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18828
LA
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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