Individual
HEATHER LYNNE ORTEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
2204 S 5TH ST, LEESVILLE, LA 71446-5327
(337) 238-9305
Mailing address
156 FROEMMING RD, DERIDDER, LA 70634-8462
(337) 344-0723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024173
LA
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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