DEA LASIC

DALLAS, TX
NPI1518454370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NC  28163)
Additional Taxonomies183500000X Pharmacist
(Licence: SC  43279)
Enumeration Date2018-04-17
Last Update Date2022-02-03
Business Address
Dr. DEA LASIC PharmD
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-742-8387
Mailing Address
Dr. DEA LASIC PharmD
2814 PROVIDENCE SPRING LN
CHARLOTTE, NC 28270-3766
Phone number: 170-476-3539