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Individual

LYLE WILLIAM PLAUCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
17856 GRAY MOSS AVE, BATON ROUGE, LA 70817-1737
(225) 603-6047
Mailing address
17856 GRAY MOSS AVE, BATON ROUGE, LA 70817-1737
(225) 603-6047

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.019760
LA

Other

Enumeration date
05/23/2013
Last updated
05/23/2013
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