Individual
MRS. LISA JANET BOISSELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH, CGP
Contact information
Practice address
2813 EATON DR, NORMAN, OK 73072-2269
(405) 210-5681
Mailing address
2813 EATON DR, NORMAN, OK 73072-2269
(405) 210-5681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11079
OK
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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