Individual
LISA GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1402 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721-1605
(218) 773-5610
Mailing address
1402 CENTRAL AVE NE, EAST GRAND FORKS, MN 56721-1605
(218) 773-5610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125524
MN
183500000X
Pharmacist
S016978
AZ
Other
Enumeration date
10/28/2010
Last updated
04/08/2023
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