Individual
MR. LEIGHTON LAMAR LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1111 HIGHLAND AVE, SELMA, AL 36703-4129
(334) 875-4916
Mailing address
6104 BALD CYPRESS CT, MONTGOMERY, AL 36117-1308
(919) 671-3997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16315
AL
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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