Willis, Mary Lauren Elizabeth

Willis, Mary Lauren Elizabeth is an sole proprietor health care provider with primary practice located at 4251 Mooncoin Way , Lexington KY 40515. She recently has only one registered license in Pharmacy Service Providers / Oncology, which is considered as her primary health care specialty. Willis, Mary Lauren Elizabeth can be contacted via phone (859) 806-8420.

Contact Information

Primary practice address
4251 Mooncoin Way Lexington KY 40515
Phone: (859) 806-8420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Oncology 1835X0200X 015909 Kentucky

Profile Details

NPI number 1043760465
LBN Legal business name Willis, Mary Lauren Elizabeth
Credentials PHARMD, BCOP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2016
Last updated May 31st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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