Provider Demographics
NPI:1205964954
Name:LASSEIGNE, IRA JOSEPH (RPH)
Entity type:Individual
Prefix:MR
First Name:IRA
Middle Name:JOSEPH
Last Name:LASSEIGNE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:RACELAND
Mailing Address - State:LA
Mailing Address - Zip Code:70394-2752
Mailing Address - Country:US
Mailing Address - Phone:985-537-0557
Mailing Address - Fax:985-537-9271
Practice Address - Street 1:108 ACADIA DRIVE
Practice Address - Street 2:
Practice Address - City:RACELAND
Practice Address - State:LA
Practice Address - Zip Code:70394
Practice Address - Country:US
Practice Address - Phone:985-537-5255
Practice Address - Fax:985-537-9271
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1255629Medicaid
LA1255629Medicaid