Healthcare Provider Details

I. General information

NPI: 1942399357
Provider Name (Legal Business Name): LLOYD JOSEPH DUPLANTIS JR. P.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3696 W MAIN ST
GRAY LA
70359-6122
US

IV. Provider business mailing address

3696 W MAIN ST
GRAY LA
70359-6122
US

V. Phone/Fax

Practice location:
  • Phone: 985-872-4547
  • Fax: 985-580-0213
Mailing address:
  • Phone: 985-872-4547
  • Fax: 985-580-0213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9535
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: