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Individual

MRS. JOHANNA M LAWLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
5600 S 108TH ST, HALES CORNERS, WI 53130-1910
(414) 529-0076
Mailing address
13050 W WEATHER CREEK CT, NEW BERLIN, WI 53151-9025
(262) 821-5870

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051041034
IL
183500000X
Pharmacist
Primary
1489440
WI

Other

Enumeration date
05/12/2012
Last updated
05/12/2012
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