Individual
DR. LISA RENEE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
517 WINCHESTER DR, WEST PLAINS, MO 65775-3936
(417) 505-0558
Mailing address
517 WINCHESTER DR, WEST PLAINS, MO 65775-3936
(417) 505-0558
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH044299
MO
Other
Enumeration date
01/03/2015
Last updated
02/05/2020
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