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Individual

LORI M WINEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
11899 M 32, ATLANTA, MI 49709-9374
(989) 785-4855
(989) 785-2267
Mailing address
PO BOX 850, ATLANTA, MI 49709-0850
(989) 785-4855
(989) 785-2267

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302037277
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
MI
Enumeration date
11/15/2018
Last updated
11/15/2018
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