Individual
LISA N PRESTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1772 CANAL BLVD, THIBODAUX, LA 70301-5225
(985) 447-3746
(985) 447-2853
Mailing address
3300 HIGHWAY 308, NAPOLEONVILLE, LA 70390-8904
(985) 447-3746
(985) 447-2853
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13227
LA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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