Individual
LANEY LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 ONEAL LN, BATON ROUGE, LA 70816-3204
(225) 924-3880
Mailing address
2001 ONEAL LN, BATON ROUGE, LA 70816-3204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017882
LA
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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