Individual
LAWRENCE GARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2200 SPRINGPORT RD, JACKSON, MI 49202-1432
(517) 787-7053
Mailing address
2200 SPRINGPORT RD, JACKSON, MI 49202-1432
(517) 787-7053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022524
MI
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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