Individual
LANCE DAREN LUGAFET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
430 HALOKA AVE, GOLDSBY, OK 73093-9728
(405) 370-2186
Mailing address
430 HALOKA AVE, GOLDSBY, OK 73093-9728
(405) 370-2186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15808
OK
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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