Individual
LISA LEVANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 E ERIE ST, MISSOURI VALLEY, IA 51555-1619
(712) 642-2747
Mailing address
312 E ERIE ST APT 3, MISSOURI VALLEY, IA 51555-1660
(402) 741-1234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16453
NE
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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