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Individual

LAN LY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1800 COOKS HILL RD STE B, CENTRALIA, WA 98531-9162
(360) 827-6616
(360) 827-6657
Mailing address
1800 COOKS HILL RD STE B, CENTRALIA, WA 98531-9162
(360) 827-6616
(360) 827-6657

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
62504
TX
183500000X
Pharmacist
Primary
PH61024074
WA

Other

Enumeration date
10/12/2017
Last updated
07/23/2020
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