Mariah Lavere

NPI #1174073191 in Hodgenville, Kentucky

Provider Information

NPI Number: 1174073191
Entity Type: Individual
Name: Mariah Lavere
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 13, 2016
Last Updated: Oct 13, 2016

Practice Location

Address: 415 N LINCOLN BLVD
City: Hodgenville
State: Kentucky
ZIP Code: 42748-1610
Phone: (270) 358-3186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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