Individual
MRS. ALLISON LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
601 LAFAYETTE STREET, YOUNGSVILLE, LA 70592
(337) 856-5761
(337) 856-8382
Mailing address
PO BOX 228, YOUNGSVILLE, LA 70592-0228
(337) 856-5761
(337) 856-8382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15725
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89654
—
LA
Enumeration date
09/17/2010
Last updated
09/17/2010
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