Individual
DR. DEA LASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
2814 PROVIDENCE SPRING LN, CHARLOTTE, NC 28270-3766
(170) 476-3539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28163
NC
183500000X
Pharmacist
43279
SC
Other
Enumeration date
04/17/2018
Last updated
02/03/2022
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