Provider Demographics
NPI:1730494758
Name:LEMAIRE, PAUL RYAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:RYAN
Last Name:LEMAIRE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 BRITAIN CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7161
Mailing Address - Country:US
Mailing Address - Phone:337-280-1140
Mailing Address - Fax:
Practice Address - Street 1:3747 MOSS ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507-5536
Practice Address - Country:US
Practice Address - Phone:337-291-1808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA18503183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist