Provider Demographics
NPI:1396963492
Name:LOURWOOD, DAVID LEE JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LEE
Last Name:LOURWOOD
Suffix:JR
Gender:M
Credentials:PHARMD
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Mailing Address - Street 1:2815 KARMEN AVE
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-2085
Mailing Address - Country:US
Mailing Address - Phone:573-686-5989
Mailing Address - Fax:573-727-2443
Practice Address - Street 1:2620 N WESTWOOD BLVD
Practice Address - Street 2:POPLAR BLUFF REGIONAL MEDICAL CENTER
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-3396
Practice Address - Country:US
Practice Address - Phone:573-686-5989
Practice Address - Fax:573-727-2443
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MO19991397491835P1200X
MI240221835P1200X
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy