Individual
LORI MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3036
(504) 234-2308
Mailing address
704 FOLIAGE CT, MADISONVILLE, LA 70447-3616
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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