Individual
MS. ANITA LYNN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
715 E BROADWAY ST, FORTVILLE, IN 46040-1551
(317) 485-7111
Mailing address
4841 E 71ST ST, INDIANAPOLIS, IN 46220-3889
(317) 442-6784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020938A
IN
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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