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Individual

MRS. LISA ELLIOTT SHARP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPH

Contact information

Practice address
723 NW HEINZWOOD CIR, LAWTON, OK 73505-4950
(580) 353-5505
Mailing address
723 NW HEINZWOOD CIR, LAWTON, OK 73505-4950
(580) 353-5505

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12806
OK

Other

Enumeration date
08/31/2011
Last updated
08/31/2011
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