Individual
LARA MARWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15325 MICHIGAN AVE, DEARBORN, MI 48126-2954
(313) 582-9422
Mailing address
15325 MICHIGAN AVE, DEARBORN, MI 48126-2954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042485115
—
MI
Enumeration date
11/29/2020
Last updated
11/29/2020
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