Individual
LISA LYNN HYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
425 MAIN ST W, CANNON FALLS, MN 55009-2044
(507) 263-2881
Mailing address
20070 HOLT AVE W, LAKEVILLE, MN 55044-6864
(952) 240-4598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117086
MN
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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