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NPI Code Detail

MEDICARE: LISA MCLAURIN

MEDICARE: LISA MCLAURIN
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
1183500000XPharmacist16504NC

General Provider Information

NPI Number : 1336431238
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MCLAURIN
Provider Business Mailing Address
First Line : 2010 SEDWICK RD
Second Line :
City : DURHAM
State : NC
Zip : 27713-4452
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2010 SEDWICK RD
Second Line :
City : DURHAM
State : NC
Zip : 27713-4452
Country : US
Telephone Number : 919-484-2228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2011
Last Update Date : 05/10/2011

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Directions to “ LISA MCLAURIN ” Practice Location

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