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Individual

ANTHONY LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2700 JOHNSTON ST, LAFAYETTE, LA 70503-3242
(337) 232-9317
Mailing address
108 PORT ROYAL CIR, LAFAYETTE, LA 70508-6459

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019482
LA

Other

Enumeration date
09/05/2011
Last updated
09/05/2011
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