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1265750905
LAWRENCE LEVERN LOFSTROM
TULSA, OK
NPI
1265750905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OK 9588)
Enumeration Date
2010-05-05
Last Update Date
2015-10-17
Business Address
-- LAWRENCE LEVERN LOFSTROM D.Ph.
4112 S PEORIA AVE
TULSA, OK 74105-7613
Phone number: 918-743-4491
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Mailing Address
-- LAWRENCE LEVERN LOFSTROM D.Ph.
4112 S PEORIA AVE
TULSA, OK 74105-7613
Phone number: 918-743-4491
Copy
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