Individual
LORIEAL LACHELLE SANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
609 METAIRIE RD # 8279, METAIRIE, LA 70005-4034
(150) 454-7114
Mailing address
5337 FULVETTA FALLS RD, SLIDELL, LA 70461-5242
(504) 547-1142
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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