Individual
LANE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
114 N LAKE AVE, PHILLIPS, WI 54555-1297
(715) 339-2424
Mailing address
114 N LAKE AVE, PHILLIPS, WI 54555-1297
(715) 339-2424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22314-40
WI
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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