Provider Demographics
NPI:1992881346
Name:HAMLIN, LORI LYNN (RPH)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:LYNN
Last Name:HAMLIN
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 1:7304 E MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-7629
Mailing Address - Country:US
Mailing Address - Phone:517-784-3184
Mailing Address - Fax:
Practice Address - Street 1:210 HINCKLEY BLVD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-5313
Practice Address - Country:US
Practice Address - Phone:517-784-3184
Practice Address - Fax:517-784-2202
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1588744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist