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Individual

LAUREN MIKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-2568
Mailing address
7610 W 850 N, ETNA GREEN, IN 46524-9452

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26032102A
IN

Other

Enumeration date
07/21/2026
Last updated
07/21/2026
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