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Individual

MRS. LANET E HIGHTOWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20321 SUSAN LESLIE DR, ASHBURN, VA 20147-5682
(703) 726-8647
Mailing address
20321 SUSAN LESLIE DR, ASHBURN, VA 20147-5682
(703) 726-8647

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209776
VA
183500000X
Pharmacist
44803
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
361924025
TAXONOMY
VA
Enumeration date
09/30/2011
Last updated
09/30/2011
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