Individual
MR. JAMES LUSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 S 27TH ST, MILWAUKEE, WI 53215-4349
(414) 671-3660
(414) 671-2587
Mailing address
3333 S 27TH ST, MILWAUKEE, WI 53215-4349
(414) 671-3660
(414) 671-2587
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13093-040
WI
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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