Individual
LARA BRAZZEL-PESEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
615 W MAIN ST, NORMAN, OK 73069-7062
(405) 573-5019
(405) 573-9827
Mailing address
615 W MAIN ST, NORMAN, OK 73069-7062
(405) 573-5019
(405) 573-9827
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13062
OK
Other
Enumeration date
09/05/2011
Last updated
09/05/2011
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