Individual
MR. HOMER DUANE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
120 N BRYANT AVE, EDMOND, OK 73034-6302
(405) 341-8490
(405) 341-8496
Mailing address
2107 VANCE DR, EDMOND, OK 73013-7752
(405) 341-1680
(405) 341-8496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7378
OK
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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