Individual
MS. LISA TYJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
961 SPRING ST, MUSKEGON, MI 49442-3278
(231) 722-2861
(231) 726-5522
Mailing address
3498 WHISPERING WOODS DR, MUSKEGON, MI 49444-5402
(231) 777-3572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031527
MI
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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