Individual
ANDREA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9701 BELLEVILLE RD, BELLEVILLE, MI 48111-1305
(734) 699-0433
Mailing address
9701 BELLEVILLE RD, BELLEVILLE, MI 48111-1305
(734) 699-0433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030400
MI
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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