| NPI | 1457899742 |
|---|---|
| Former Name | LORI LEBLANC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 33057) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0011022) |
| 183500000X Pharmacist (Licence: AL 19587) | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |