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Individual

LANA ALINE GUILLORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
215 W WILLOW ST, LAFAYETTE, LA 70501-2841
(337) 572-9053
(337) 572-9054
Mailing address
215 W WILLOW ST, LAFAYETTE, LA 70501-2841
(337) 572-9053
(337) 572-9054

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15149
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1896829
LA
Enumeration date
09/08/2010
Last updated
09/08/2010
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