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Individual
LONNIE LAVAUGHN MEREDITH
Active
Individual
LONNIE LAVAUGHN MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28628
STATE PHARMACY LICENSE
TX
Enumeration date
02/13/2007
Last updated
07/08/2007
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