Lance Bourgeois

NPI #1194031617 in Marrero, Louisiana

Provider Information

NPI Number: 1194031617
Entity Type: Individual
Name: Lance Bourgeois
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 21, 2010
Last Updated: Aug 21, 2010

Practice Location

Address: 4600 WESTBANK EXPY
City: Marrero
State: Louisiana
ZIP Code: 70072-3065
Phone: (504) 340-6337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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