Individual
LAYNE DISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 251-6337
Mailing address
108 CRESTWOOD DR, WEST MONROE, LA 71291-6943
(337) 967-0584
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.025480
LA
Other
Enumeration date
10/19/2020
Last updated
10/09/2024
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