Individual
LISA A STRUCKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
36-C CATOCTIN CIRCLE, SE, LEESBURG, VA 20175
(703) 777-5333
(703) 771-8246
Mailing address
42950 CLOVER LEAF CT, ASHBURN, VA 20148
(571) 333-8880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206251
VA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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