Individual
MRS. LAURA D HEITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
523 THAIN RD, LEWISTON, ID 83501-5530
(208) 743-5515
(208) 743-0333
Mailing address
523 THAIN RD, LEWISTON, ID 83501-5530
(208) 743-5515
(208) 743-0333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4883
ID
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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