Individual
DR. MARK VERNON LORSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D, CGP
Contact information
Practice address
211 NAUTILUS DR APT 8, MADISON, WI 53705-4358
(414) 207-0309
Mailing address
211 NAUTILUS DR APT 8, MADISON, WI 53705-4358
(414) 207-0309
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
03129816
OH
1835G0303X
Geriatric Pharmacist
Primary
15547-40
WI
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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