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1174955074
LISA LATO BIANCA
BATON ROUGE, LA
NPI
1174955074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 015078)
Enumeration Date
2013-08-01
Last Update Date
2022-06-22
Business Address
Mrs. LISA LATO BIANCA
6251 PERKINS RD STE C
BATON ROUGE, LA 70808-4167
Phone number: 225-389-6251
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Mailing Address
Mrs. LISA LATO BIANCA
1330 CHARMAINE AVE
BATON ROUGE, LA 70806-7715
Phone number: 225-202-7685
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