Individual
LAN K NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
VA NORTHERN INDIANA HEALTH CARE SYSTEM - MARION, 1700 EAST 38TH ST, MARION, IN 46953-4568
(765) 674-3321
Mailing address
1700 E 38TH ST, MARION, IN 46953-4568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29413
TN
1835G0303X
Geriatric Pharmacist
Primary
29413
TN
Other
Enumeration date
05/20/2008
Last updated
05/01/2026
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