Individual
LISA VON HEUVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH BS
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5141
(575) 521-2235
Mailing address
3833 JACK NICKLAUS DR, LAS CRUCES, NM 88011-3912
(830) 370-6903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
41948
CA
183500000X
Pharmacist
42839
TX
183500000X
Pharmacist
PHA.0019484
CO
183500000X
Pharmacist
RP00007950
NM
183500000X
Pharmacist
Primary
S009130
AZ
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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