Provider Demographics
NPI:1134325939
Name:SCHULZE, LORNA B (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LORNA
Middle Name:B
Last Name:SCHULZE
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 1:108 BAYBERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WEST TOWNSEND
Mailing Address - State:MA
Mailing Address - Zip Code:01474-1119
Mailing Address - Country:US
Mailing Address - Phone:978-597-6206
Mailing Address - Fax:
Practice Address - Street 1:55 LAKE AVE N
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01655-0002
Practice Address - Country:US
Practice Address - Phone:508-421-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19171183500000X
NH2420183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist