MEDICARE: DR. VENECIA LAMAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH026741	GA

General Provider Information

NPI Number	:	1396185377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VENECIA LAMAR

Provider Business Mailing Address
First Line	:	2300 UNION GROVE CT
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-5051
Country	:	US
Telephone Number	:	770-355-1174
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 UNION GROVE CT
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-5051
Country	:	US
Telephone Number	:	770-355-1174
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2013
Last Update Date	:	07/05/2013

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Directions to “ DR. VENECIA LAMAR ” Practice Location

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