Individual
LISA RENEE KOSELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2033
Mailing address
4916 SUMMER AVE NE, ALBUQUERQUE, NM 87110-6334
(847) 401-7519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007531
NM
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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