Individual
MRS. LISA K URBANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
N16088 US 2-41, SPALDING, MI 49886-0155
(906) 497-5516
(906) 497-4206
Mailing address
W5080 HANBURY LAKE RD, VULCAN, MI 49892-8989
(906) 563-7275
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411223
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2344757
—
MI
05
—
2769665
—
MI
01
—
540E50255
BLUE CROSS
MI
Enumeration date
10/31/2005
Last updated
12/05/2008
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