Individual
MRS. LISA GEORGINA IGONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1863 UNION AVE, MEMPHIS, TN 38104-4028
(832) 868-2829
Mailing address
832 GREEN OAKS LN, COLLIERVILLE, TN 38017-7376
(832) 868-2829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
29870
TX
183500000X
Pharmacist
Primary
33347
TN
183500000X
Pharmacist
PD11183
AR
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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