MEDICARE: ROLAND J LORMAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	8378	LA

General Provider Information

NPI Number	:	1376759340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLAND J LORMAND

Provider Business Mailing Address
First Line	:	PO BOX 90253
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70509-0253
Country	:	US
Telephone Number	:	337-234-3654
Fax Number	:

Provider Business Practice Location Address
First Line	:	919 NAPOLEON AVE
Second Line	:
City	:	SUNSET
State	:	LA
Zip	:	70584-6100
Country	:	US
Telephone Number	:	337-662-5298
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/08/2007

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Directions to “ ROLAND J LORMAND ” Practice Location

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