Lance K. Novak

NPI #1093291932 in Rockford, Illinois

Provider Information

NPI Number: 1093291932
Entity Type: Individual
Name: Lance K. Novak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 13, 2018
Last Updated: Jul 13, 2018

Practice Location

Address: 6410 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61108-3008
Phone: (815) 397-2127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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