Individual
MS. LACEE BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2375 NE HIGHWAY 99W, MCMINNVILLE, OR 97128-9201
(503) 434-6854
(503) 435-1674
Mailing address
2375 NE HIGHWAY 99W, MCMINNVILLE, OR 97128-9201
(503) 434-6854
(503) 435-1674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012397
OR
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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