DR. Lonnie Forrest Bambas
NPI #1841001559 in Fort Moore, Georgia
Provider Information
- NPI Number
- 1841001559
- Entity Type
- Individual
- Name
- DR. Lonnie Forrest Bambas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jan 14, 2025
- Last Updated
- Jan 14, 2025
Practice Location
- Address
- 6600 VAN AALST BLVD
- City
- Fort Moore
- State
- Georgia
- ZIP Code
- 31905-2102
- Phone
- (762) 408-2180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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