Individual
LACEY BREANNE LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
274 SUTTON RD SE, BIG COVE, AL 35763-8753
(256) 533-8982
Mailing address
274 SUTTON RD SE, BIG COVE, AL 35763-8753
(256) 533-8982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22234
AL
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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