LANCE BOURGOYNE

BATON ROUGE, LA
NPI1568059590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: LA  013969)
Enumeration Date2020-12-23
Last Update Date2020-12-23
Business Address
LANCE BOURGOYNE
5131 ODONOVAN DR STE 402
BATON ROUGE, LA 70808-4792
Phone number: 225-765-8140
Mailing Address
LANCE BOURGOYNE
5131 ODONOVAN DR STE 402
BATON ROUGE, LA 70808-4792
Phone number: 225-765-8140
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