Individual
DR. LAINE HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15800 87TH ST NE, OTSEGO, MN 55330-6546
(763) 252-1316
Mailing address
13285 GRANSTROM CIR, DAYTON, MN 55327-2005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123407
MN
Other
Enumeration date
03/08/2020
Last updated
03/08/2020
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