Individual
DR. LAKEN NICOLE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
719 S NEOSHO BLVD, NEOSHO, MO 64850
(417) 451-9501
Mailing address
719 S NEOSHO BLVD, NEOSHO, MO 64850
(417) 451-9501
(417) 451-9594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2017026250
MO
Other
Enumeration date
02/10/2018
Last updated
02/10/2018
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