Individual
MRS. LISA BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
220 E SUNSET DR, WAUKESHA, WI 53189-7602
(262) 574-0405
Mailing address
220 E SUNSET DR, WAUKESHA, WI 53189-7602
(262) 574-0405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11570-40
WI
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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