Provider Demographics
NPI:1184899080
Name:OSBORNE, CLAUDINE MARIE (RPH)
Entity type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:MARIE
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CLAUDINE
Other - Middle Name:MARIE
Other - Last Name:DAMASKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:64828 M 40
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:MI
Mailing Address - Zip Code:49065-9406
Mailing Address - Country:US
Mailing Address - Phone:269-806-3993
Mailing Address - Fax:
Practice Address - Street 1:56151 M 51 S
Practice Address - Street 2:
Practice Address - City:DOWAGIAC
Practice Address - State:MI
Practice Address - Zip Code:49047-9762
Practice Address - Country:US
Practice Address - Phone:269-782-4511
Practice Address - Fax:269-782-9899
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302027953183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist