MR. Lawrence Dean Stidham, RPH

NPI #1740495779 in Lake Placid, Florida

Provider Information

NPI Number: 1740495779
Entity Type: Individual
Name: MR. Lawrence Dean Stidham, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 224 E INTERLAKE BLVD
City: Lake Placid
State: Florida
ZIP Code: 33852-9603
Phone: (863) 465-2291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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