Individual
LORIE ELLEN BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3064
(248) 858-6031
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(348) 858-3064
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022474
MI
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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