Provider Demographics
NPI:1831591817
Name:HEBERT, LINDBERG JOSEPH (RPH)
Entity type:Individual
Prefix:MR
First Name:LINDBERG
Middle Name:JOSEPH
Last Name:HEBERT
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 1:204 NORTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:LA
Mailing Address - Zip Code:70538-3120
Mailing Address - Country:US
Mailing Address - Phone:337-828-0161
Mailing Address - Fax:337-828-0926
Practice Address - Street 1:204 NORTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:LA
Practice Address - Zip Code:70538-3120
Practice Address - Country:US
Practice Address - Phone:337-828-0161
Practice Address - Fax:337-828-0926
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-21
Last Update Date:2014-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA009944183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist