Individual
LANI HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 SHERMAN AVE, MADISON, WI 53704-5930
(608) 245-3483
Mailing address
4202 SAVANNAH CT, MIDDLETON, WI 53562-5263
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11362-40
WI
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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