Provider Demographics
NPI:1891129771
Name:MCLEOD, LAURA KAY (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:KAY
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:KAY
Other - Last Name:GIOVANNI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:278 KENT BARROW RD
Mailing Address - Street 2:
Mailing Address - City:DEQUINCY
Mailing Address - State:LA
Mailing Address - Zip Code:70633-6218
Mailing Address - Country:US
Mailing Address - Phone:337-802-1403
Mailing Address - Fax:337-725-9036
Practice Address - Street 1:1421 BEGLIS PKWY
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-5603
Practice Address - Country:US
Practice Address - Phone:337-528-9918
Practice Address - Fax:337-528-9925
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14888183500000X
TX32489183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist