Individual
DR. LANA MICHELE DOMINY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2103 VETERANS BLVD STE 2, DUBLIN, GA 31021-7531
(478) 272-1210
Mailing address
1864 OLD HAWKINSVILLE RD, DUDLEY, GA 31022-2515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026033
GA
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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