Louisiana
Board of Licensing
Stackhouse Mark Lukens
Medical
License number
ATH.200407
Date expires
06/30/2015
Class
Medical
Status
Active
Address
201 Reinhardt Drive, Lafayette, LA 70506
louisianalicensing.com
ID 21763809
LAST UPDATED 2024-04-09 03:21:46 UTC
LAST UPDATED 2024-04-09 03:21:46 UTC