Individual
ANGELA LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6238
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST019499
LA
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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