Individual
LISA TUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
Mailing address
2542 PINEY PASS WAY, ODENTON, MD 21113-3690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034273
MI
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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