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NPI Code Detail

MEDICARE: LAUREN LIVESAY SALMON

MEDICARE:   LAUREN LIVESAY SALMON
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
1183500000XPharmacist27039NC

General Provider Information

NPI Number : 1225550510
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN LIVESAY SALMON
Provider Business Mailing Address
First Line : 2617 FARLOW GAP LN
Second Line :
City : RALEIGH
State : NC
Zip : 27603-5943
Country : US
Telephone Number : 804-731-1665
Fax Number :
Provider Business Practice Location Address
First Line : 3201 EDWARDS MILL RD STE 123
Second Line :
City : RALEIGH
State : NC
Zip : 27612-5370
Country : US
Telephone Number : 919-781-2314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2017
Last Update Date : 07/09/2017

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Directions to “ LAUREN LIVESAY SALMON ” Practice Location

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