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Individual

MR. LANE N ROLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3151 E 7TH ST, JOPLIN, MO 64801-5581
(417) 206-3377
Mailing address
2171 E MONTCLAIR ST, SPRINGFIELD, MO 65804-4540
(417) 877-7636

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002014575
MO

Other

Enumeration date
09/12/2013
Last updated
09/12/2013
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