Provider Demographics
NPI:1912549635
Name:LEDET, BRIANNA LYNN (RPH)
Entity Type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:LYNN
Last Name:LEDET
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 1:115 C ST
Mailing Address - Street 2:
Mailing Address - City:BELLE CHASSE
Mailing Address - State:LA
Mailing Address - Zip Code:70037-2433
Mailing Address - Country:US
Mailing Address - Phone:504-451-2465
Mailing Address - Fax:
Practice Address - Street 1:8443 HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037-2529
Practice Address - Country:US
Practice Address - Phone:504-393-1648
Practice Address - Fax:504-393-1650
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.023141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist