Individual
SEMRA LISA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8760 NORTHRIDGE WAY, MINOCQUA, WI 54548-8766
(715) 356-3782
(715) 356-4883
Mailing address
1960 N FARMING RD, ARBOR VITAE, WI 54568-9582
(715) 614-6206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11512
WI
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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