Individual
LISA CICHOCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2440 W MASON ST, GREEN BAY, WI 54303-4711
(920) 499-2330
Mailing address
4066 HUDSON HILL DR, HOBART, WI 54155-8984
(920) 664-4114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17594-40
WI
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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