Individual
LANORA KAY JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4854 W US HIGHWAY 10, LUDINGTON, MI 49431-8703
(231) 845-5873
Mailing address
3585 JEFFERSON RD, PENTWATER, MI 49449-9734
(231) 742-2212
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303033959
MI
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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