Individual
LORA LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
801 MACARTHUR BLVD STE 102, MUNSTER, IN 46321-2916
(219) 836-2480
(219) 836-0560
Mailing address
801 MACARTHUR BLVD STE 102, MUNSTER, IN 46321-2916
(219) 836-2480
(219) 836-0560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020401A
IN
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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