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Individual

DR. JAMIE GAUTREAUX MONROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2000 RYAN ST, LAKE CHARLES, LA 70601-7314
(337) 439-4241
Mailing address
5493 LAUTREC ST, LAKE CHARLES, LA 70605-5282
(337) 802-7098

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19845
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1486
MEDICATION ADMINISTRAION NUMBER
LA
Enumeration date
08/26/2012
Last updated
08/26/2012
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