Individual
LISA FORTENBERRY LACOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1812 W THOMAS ST, HAMMOND, LA 70401-2945
(985) 345-4767
(985) 345-4768
Mailing address
42342 FOREST LN, HAMMOND, LA 70403-2179
(985) 320-5211
(225) 294-0241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15444
LA
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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