Provider Demographics
NPI:1700398997
Name:DANCER, LORRAINE LEE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:LEE
Last Name:DANCER
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 1:139 CHAPEL LK S
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-6803
Mailing Address - Country:US
Mailing Address - Phone:912-663-2455
Mailing Address - Fax:
Practice Address - Street 1:801A E GENERAL STEWART WAY
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-2661
Practice Address - Country:US
Practice Address - Phone:912-255-6009
Practice Address - Fax:912-255-6008
Is Sole Proprietor?:No
Enumeration Date:2017-10-29
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist