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Individual

DR. CHERYL SAMPOGNARO LASUZZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4103 PECANLAND MALL DR, T-1469, MONROE, LA 71203-7009
(318) 388-3474
(318) 388-3474
Mailing address
4103 PECANLAND MALL DR, T-1469, MONROE, LA 71203-7009
(318) 388-3474
(318) 388-3474

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13024
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
353278
NABP
LA
Enumeration date
11/10/2011
Last updated
11/10/2011
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