Individual
DR. LISA EJSMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-6909
Mailing address
200 HAWKINS DR, CC101 GH, IOWA CITY, IA 52242-1009
(319) 384-6909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.296097
IL
183500000X
Pharmacist
26024920A
IN
1835P2201X
Ambulatory Care Pharmacist
6152368
IL
Other
Enumeration date
08/31/2012
Last updated
07/30/2020
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