Provider Demographics
NPI:1477683092
Name:DUNNE, LOIS ELAINE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:ELAINE
Last Name:DUNNE
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 1:12670 COUNTY ROAD 1 NW
Mailing Address - Street 2:LOIS DUNNE
Mailing Address - City:PENNOCK
Mailing Address - State:MN
Mailing Address - Zip Code:56279-9743
Mailing Address - Country:US
Mailing Address - Phone:320-599-4371
Mailing Address - Fax:
Practice Address - Street 1:12670 COUNTY ROAD 1 NW
Practice Address - Street 2:LOIS DUNNE
Practice Address - City:PENNOCK
Practice Address - State:MN
Practice Address - Zip Code:56279-9743
Practice Address - Country:US
Practice Address - Phone:320-599-4371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN111625183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist