Provider Demographics
NPI:1356640460
Name:LENFANT, LOUIS OLIVER (RPH)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:OLIVER
Last Name:LENFANT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 BEAUREGARD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-4502
Mailing Address - Country:US
Mailing Address - Phone:504-282-2366
Mailing Address - Fax:
Practice Address - Street 1:5953 W PARK AVE
Practice Address - Street 2:STE1043
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-1450
Practice Address - Country:US
Practice Address - Phone:985-873-3611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10793183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist