Individual
DR. LORI GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5435 E DUPONT RD, FORT WAYNE, IN 46825-1746
(260) 482-1653
Mailing address
5435 E DUPONT RD, FORT WAYNE, IN 46825-1746
(260) 482-1653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027640A
IN
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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