Provider Demographics
NPI:1073637955
Name:WESTERMAN, LORI ANN (RPH)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:ANN
Last Name:WESTERMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:889 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-9124
Mailing Address - Country:US
Mailing Address - Phone:989-732-7279
Mailing Address - Fax:
Practice Address - Street 1:854 N CENTER AVE
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-1686
Practice Address - Country:US
Practice Address - Phone:989-732-4879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302024109183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist