Lavanway, Bradford Lane

Lavanway, Bradford Lane is an sole proprietor health care provider with primary practice located at 2700 Stewart Parkway , Roseburg OR 97470. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lavanway, Bradford Lane can be contacted via phone (214) 682-9822.

Contact Information

Primary practice address
2700 Stewart Parkway Roseburg OR 97470
Phone: (214) 682-9822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH-0010599 Oregon

Profile Details

NPI number 1245372663
LBN Legal business name Lavanway, Bradford Lane
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 19 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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