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NPI Code Detail

MEDICARE: DR. LAUREN C DUTY PHARMD, BCPS

MEDICARE:  DR. LAUREN C DUTY  PHARMD, BCPS
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
11835P1200XPharmacotherapy Pharmacist017388GA

General Provider Information

NPI Number : 1104821685
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN C DUTY PHARMD, BCPS
Provider Business Mailing Address
First Line : 615 LAKE HARDING DR
Second Line :
City : HAMILTON
State : GA
Zip : 31811-4353
Country : US
Telephone Number : 706-596-9881
Fax Number :
Provider Business Practice Location Address
First Line : 710 CENTER ST
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1527
Country : US
Telephone Number : 706-571-1495
Fax Number : 706-571-1861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 07/08/2007

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Directions to “ DR. LAUREN C DUTY PHARMD, BCPS” Practice Location

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