Individual
DR. LISE LILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1417 ROLLING RIDGE CIR, TEXARKANA, AR 71854-9036
(903) 276-8444
(870) 773-9869
Mailing address
1417 ROLLING RIDGE CIR, TEXARKANA, AR 71854-9036
(903) 276-8444
(870) 773-9869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40992
TX
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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