Individual
LYNSEY N GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8501 W 95TH ST, OVERLAND PARK, KS 66212-3220
(913) 894-2079
Mailing address
8847 PENROSE LN APT 408, LENEXA, KS 66219-8193
(913) 972-8510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-105874
KS
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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