Individual
DR. LISA M PINEROS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
295 S BROADWAY ST, LAKE ORION, MI 48362-2738
(248) 814-6521
Mailing address
332 E GATES ST, ROMEO, MI 48065-4404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302047313
MI
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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