Individual
LAUREN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4051 NICHOLASVILLE RD, LEXINGTON, KY 40503-4433
(859) 971-0583
Mailing address
1955 COVINGTON PT, LEXINGTON, KY 40509-8388
(606) 226-6371
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017986
KY
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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