Individual
LISA FINCH LAIRCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
57 GRANADE ST, STATESBORO, GA 30458-5106
(912) 764-5643
Mailing address
632 COLFAX STATION DR, STATESBORO, GA 30458-0107
(912) 764-5110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020844
GA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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