Individual
MRS. LISA A LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
409 NORTH HWY 102, MCLOUD, OK 74851
(405) 964-2081
Mailing address
409 N HWY 102, MCLOUD, OK 74851
(405) 964-2081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14843
OK
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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