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Individual

LAWRENCE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
74 TANBARK PLAZA, LOVINGSTON, VA 22949-0318
(434) 263-4224
Mailing address
1502 CHERRY BARK LN, CHARLOTTESVILLE, VA 22911-8283
(434) 975-2575

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009177
VA

Other

Enumeration date
04/11/2011
Last updated
04/11/2011
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