Individual
DR. LISA LYNN MOURAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1824 MURDOCH AVENUE, PARKERSBURG, WV 26102-0327
(304) 424-4881
(304) 424-4782
Mailing address
112 HOLIDAY DR, MARIETTA, OH 45750-9479
(740) 376-9443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-3-25571
OH
183500000X
Pharmacist
044448-1
NY
183500000X
Pharmacist
Primary
RP0006033
WV
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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