Individual
LESLEY ANN ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 JOHNSTON ST, LAFAYETTE, LA 70503-4541
(337) 988-7284
Mailing address
4710 JOHNSTON ST, LAFAYETTE, LA 70503-4541
(337) 988-7284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017050
LA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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