Individual
LORI DAWN IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1831 LAKE AVE, STORM LAKE, IA 50588-7606
(712) 732-7960
Mailing address
163 LAKEVIEW DR, IDA GROVE, IA 51445-8088
(712) 210-2462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16701
IA
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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