Individual
LORA GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2895 HOLBORN CIR, MADISON, WI 53718-7925
(608) 358-8747
Mailing address
2895 HOLBORN CIR, MADISON, WI 53718-7925
(608) 358-8747
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051298280
IL
183500000X
Pharmacist
Primary
17778
WI
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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