Individual
DAPHNEY LAZARRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 N 14TH ST, LEESBURG, FL 34748-4205
(352) 787-0664
Mailing address
717 N 14TH ST, LEESBURG, FL 34748-4205
(358) 787-0664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS60659
FL
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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