Individual
LANEY DOUCETT EBERSOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3451 NELSON RD, LAKE CHARLES, LA 70605-1209
(337) 477-9831
Mailing address
3451 NELSON RD, LAKE CHARLES, LA 70605-1209
(337) 477-9831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022197
LA
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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