Individual
LISA DUNFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1901 MARKET WAY, WATERTOWN, WI 53094-7427
(920) 261-8601
Mailing address
1901 MARKET WAY, WATERTOWN, WI 53094-7427
(920) 261-8601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13692-40
WI
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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