Provider Demographics
NPI:1801447636
Name:DELAUNE, MONTE LYNN PEREZ (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:MONTE LYNN
Middle Name:PEREZ
Last Name:DELAUNE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1564 CURTIS ST
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-2415
Mailing Address - Country:US
Mailing Address - Phone:504-265-2565
Mailing Address - Fax:
Practice Address - Street 1:195 N CANAL BLVD
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-2995
Practice Address - Country:US
Practice Address - Phone:985-447-2456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2019-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.023071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist