Individual
MARJORIE LACIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 465-9505
(219) 465-9519
Mailing address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 465-9505
(219) 465-9519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020771A
IN
Other
Enumeration date
06/14/2011
Last updated
12/08/2020
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