Individual
LORA ERTMOED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1776 N MERIDIAN ST, SUITE 100A, INDIANAPOLIS, IN 46202-1468
(317) 962-1746
(317) 962-4070
Mailing address
1776 N MERIDIAN ST, SUITE 100A, INDIANAPOLIS, IN 46202-1468
(317) 962-1746
(317) 962-4070
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022736A
IN
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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