Individual
LINDSAY RANAYE LISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 LISHER CUT OFF, POTLATCH, ID 83855-9632
(208) 964-0269
Mailing address
2470 W PULLMAN RD, MOSCOW, ID 83843-4034
(208) 882-1344
(208) 882-5886
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CT16972
ID
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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