Individual
MRS. LISA KRAUSE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8720 W GRAND RIVER AVE, BRIGHTON, MI 48116-2307
(810) 225-4530
Mailing address
1369 BAYWOOD CIR, BRIGHTON, MI 48116-6776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302026867
MI
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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