Individual
LORI BEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 S PENNSYLVANIA AVE, LANSING, MI 48911-5719
(517) 393-5100
(517) 394-9565
Mailing address
6027 GRAND RIVER DR, GRAND LEDGE, MI 48837-8916
(517) 627-3376
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030243
MI
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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