Provider Demographics
NPI:1376838664
Name:LAYBURN, ANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:LAYBURN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3813 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:LA
Mailing Address - Zip Code:70121-1625
Mailing Address - Country:US
Mailing Address - Phone:504-832-0614
Mailing Address - Fax:504-836-0056
Practice Address - Street 1:3813 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:LA
Practice Address - Zip Code:70121-1625
Practice Address - Country:US
Practice Address - Phone:504-832-0614
Practice Address - Fax:504-836-0056
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA018495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist