SearchLouisiana183500000X

Paul Provost, RPH

NPI 1609158534 · on the registry since 2011 · sole proprietor

Practice

Address
804 Robert Lee Cir
Lafayette, LA 70506
Phone
(337) 654-9777

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana