Individual
ALEXIS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3255 HWY 1 S, PORT ALLEN, LA 70767-5858
(225) 749-7454
Mailing address
6184 S RIVER RD, BRUSLY, LA 70719-2562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023465
LA
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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