Individual
ALBERT LAWRENCE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1407 LINCOLNWAY, LA PORTE, IN 46350-3105
(219) 362-3446
Mailing address
1407 LINCOLNWAY, LA PORTE, IN 46350-3105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015819A
IN
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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