Most Relevant Information
Provider Data
| NPI Number: | 1003447954 |
| Provider Name: | MARY LORENC |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302025763 |
Most Important Dates
| Enumeration Date: | 01/30/2020 |
| Last Updated: | 01/30/2020 |
Provider Practice Location
36540 GARFIELD RD
CLINTON TOWNSHIP
MI
480351133
Practice Location Phone/Fax
| Phone: | 5867902415 |
| Fax: |
Provider Mailing Location
36540 GARFIELD RD
CLINTON TOWNSHIP
MI
480351133
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |