Individual
LARA TOUBASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 DIX HWY, LINCOLN PARK, MI 48146-3807
(313) 294-1733
(313) 294-1765
Mailing address
3710 DIX HWY, LINCOLN PARK, MI 48146-3807
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302034181
MI
Other
Enumeration date
05/04/2014
Last updated
11/05/2014
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