Individual
LISA VENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15111 E SPRAGUE AVE, SPOKANE VALLEY, WA 99037-8579
(509) 927-7547
Mailing address
2302 BECKER CT, SPOKANE VALLEY, WA 99037-9366
(509) 891-7992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00020494
WA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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