Individual
DR. MARY LAUREN ELIZABETH WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCOP
Contact information
Practice address
4251 MOONCOIN WAY, LEXINGTON, KY 40515
(859) 806-8420
Mailing address
4251 MOONCOIN WAY, LEXINGTON, KY 40515-6045
(859) 806-8420
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
015909
KY
Other
Enumeration date
10/10/2016
Last updated
05/31/2019
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