Individual
DR. LAKEYA M TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-3100
(414) 219-6188
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-3100
(414) 219-6188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14703-040
WI
Other
Enumeration date
08/14/2008
Last updated
05/12/2011
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