Provider Demographics
NPI:1588942783
Name:DUPLANTIS, ERROL ANTHONY JR (PD)
Entity type:Individual
Prefix:
First Name:ERROL
Middle Name:ANTHONY
Last Name:DUPLANTIS
Suffix:JR
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 W 111TH ST
Mailing Address - Street 2:
Mailing Address - City:CUT OFF
Mailing Address - State:LA
Mailing Address - Zip Code:70345-3620
Mailing Address - Country:US
Mailing Address - Phone:985-632-5003
Mailing Address - Fax:985-632-5083
Practice Address - Street 1:118 W 111TH ST
Practice Address - Street 2:
Practice Address - City:CUT OFF
Practice Address - State:LA
Practice Address - Zip Code:70345-3620
Practice Address - Country:US
Practice Address - Phone:985-632-5003
Practice Address - Fax:985-632-5083
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15751183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist