Individual
DR. LARA BETH WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1500 US HIGHWAY 62 W, PRINCETON, KY 42445-6106
(270) 625-0761
Mailing address
114 MEADOW LN, PRINCETON, KY 42445-6805
(270) 625-0761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014929
KY
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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