Individual
JONATHAN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15047 AIRLINE HWY, PRAIRIEVILLE, LA 70769-4201
(225) 744-8409
Mailing address
7200 CYPRESS LAKES APARTMENT BLVD APT 924, BATON ROUGE, LA 70809-5311
(504) 237-6098
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023128
LA
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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