Individual
LISA WITZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
2148 SHERMAN ST, LONGMONT, CO 80501
(720) 217-5506
Mailing address
2148 SHERMAN ST, LONGMONT, CO 80501-1330
(720) 217-5506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19663
CO
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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