Individual
MRS. SUSAN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6545 N LANDMARK DR., PARK CITY, UT 84098
(435) 647-9040
(435) 647-9042
Mailing address
345 S 400 E, HEBER, UT 84032
(435) 654-5014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
265603-1701
UT
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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