Individual
LISA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 E SUNSET DR, WAUKESHA, WI 53189-7603
(262) 542-3981
Mailing address
221 E SUNSET DR, WAUKESHA, WI 53189-7603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19013-40
WI
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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