Individual
LORA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
758 N ELLINGTON PKWY, LEWISBURG, TN 37091-2454
(931) 359-6204
Mailing address
758 N ELLINGTON PKWY, LEWISBURG, TN 37091-2454
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000036871
TN
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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