Individual
MRS. LORI LANDER GIRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 6TH AVE, TACOMA, WA 98406-5405
(253) 761-1248
Mailing address
3601 6TH AVE, TACOMA, WA 98406-5405
(253) 761-1248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00016107
WA
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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