Individual
LANCE JAY MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH., M.S.
Contact information
Practice address
1602 HIDDEN HILL DR, VERONA, WI 53593-7970
(608) 848-5656
Mailing address
1602 HIDDEN HILL DR, VERONA, WI 53593-7970
(608) 848-5656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11410
WI
Other
Enumeration date
06/01/2005
Last updated
05/11/2020
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