Individual
DR. LISA KAY FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, CDE
Contact information
Practice address
1119 AUGUSTA DR, TROY, MI 48085-6127
(248) 703-9994
(248) 879-1795
Mailing address
1119 AUGUSTA DR, TROY, MI 48085-6127
(248) 703-9994
(248) 879-1795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032099
MI
Other
Enumeration date
10/28/2006
Last updated
11/02/2011
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