Individual
HANNAH N LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
120 W WASHINGTON ST, MILLSTADT, IL 62260-1156
(618) 476-1701
Mailing address
1275 DELL RIDGE CT, SAINT PETERS, MO 63303-5813
(618) 920-9217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021032278
MO
Other
Enumeration date
06/22/2020
Last updated
08/17/2021
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