MATTHEW LANE

WEST MONROE, LA
NPI1417326646
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: LA  018065)
Enumeration Date2015-09-17
Last Update Date2015-09-17
Business Address
Mr. MATTHEW LANE
5349 CYPRESS ST
WEST MONROE, LA 71291-7505
Phone number: 318-397-8152
Mailing Address
Mr. MATTHEW LANE
5439 CYPRESS
WEST MONROE, LA 71291
Phone number: 318-397-8152
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