Provider Demographics
NPI:1104111327
Name:LAMM, MEGHAN CARY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:CARY
Last Name:LAMM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10401 HWY 441
Mailing Address - Street 2:TARGET-0691
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-8787
Mailing Address - Country:US
Mailing Address - Phone:352-360-0209
Mailing Address - Fax:352-360-0209
Practice Address - Street 1:10401 HWY 441
Practice Address - Street 2:TARGET-0691
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-8787
Practice Address - Country:US
Practice Address - Phone:352-360-0209
Practice Address - Fax:352-360-0209
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46219183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist