Individual
MS. LISA LYNN BAGNIEFSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1006 WOODWARD AVE, BELOIT, WI 53511-5427
(608) 362-6300
(068) 362-2744
Mailing address
1006 WOODWARD AVE, BELOIT, WI 53511-5427
(608) 362-6300
(068) 362-2744
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12755
WI
Other
Enumeration date
11/03/2012
Last updated
11/03/2012
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