Provider Demographics
NPI:1699860924
Name:HESTER, LISA L (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:L
Last Name:HESTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14553 N MAJESTIC OAKS PL
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-5356
Mailing Address - Country:US
Mailing Address - Phone:225-753-0808
Mailing Address - Fax:
Practice Address - Street 1:13555 OLD HAMMOND HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-1161
Practice Address - Country:US
Practice Address - Phone:225-272-8566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist