Individual
TYLER GEORGE LANNOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 HOSPITAL LOOP, BELCOURT, ND 58316
(701) 477-8482
Mailing address
PO BOX 160, BELCOURT, ND 58316
(701) 477-8482
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5689
MT
Other
Enumeration date
09/19/2008
Last updated
02/07/2017
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