Individual
LISA MATTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
662 N 4TH ST, TOMAHAWK, WI 54487-2123
(715) 453-2741
Mailing address
1608 RIVERVIEW LN, TOMAHAWK, WI 54487-2020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14912-040
WI
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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