Individual
LISA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
S14W22605 CORAL DR, WAUKESHA, WI 53186-1538
(262) 225-6318
(262) 225-6317
Mailing address
N25W26477 FOX DEN CT, PEWAUKEE, WI 53072-4567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15293-40
WI
Other
Enumeration date
12/05/2015
Last updated
12/05/2015
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