Individual
MRS. LORA ETHELYN BERTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11829 BANCHARY RD, BELVIDERE, IL 61008-7175
(815) 885-4424
Mailing address
11829 BANCHARY RD, BELVIDERE, IL 61008-7175
(815) 885-4424
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
—
IL
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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