Individual
LARA M ANBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4630 MONTICELLO AVE, WILLIAMSBURG, VA 23188-8200
(757) 564-9835
Mailing address
4630 MONTICELLO AVE, WILLIAMSBURG, VA 23188-8200
(757) 564-9835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219196
VA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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