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Individual

LISA SAMUELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
7677 W JEWELL AVE, LAKEWOOD, CO 80232-6803
(303) 985-3977
Mailing address
10068 E ARIZONA DR APT 1835, DENVER, CO 80247-6367

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18828
CO

Other

Enumeration date
08/26/2010
Last updated
08/26/2010
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