Individual
ALLISON RENE LESAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 SAINT CHARLES ST, HOUMA, LA 70360-3935
(985) 580-9990
Mailing address
4401 TRIESTE ST, NEW ORLEANS, LA 70129-2824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22644
LA
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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