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Individual

LACY J WORDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D.

Contact information

Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5307
Mailing address
10786 BENNETT ST SE, LOWELL, MI 49331-9444
(517) 541-6417

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302412612
MI

Other

Enumeration date
06/29/2020
Last updated
06/29/2020
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