Individual
LAURA STEVENSONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3250 W IN-45, BLOOMINGTON, IN 47403
(812) 333-8903
Mailing address
5039 E SYLVANIA RD, BLOOMFIELD, IN 47424-5714
(812) 890-5589
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022943A
IN
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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