Individual
MS. LISA AURORA IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
4300 WEST 7TH STREET, LITTLE ROCK, AR 72205-5484
(501) 257-6338
Mailing address
4300 WEST 7TH STREET, LITTLE ROCK, AR 72205-5484
(501) 257-6338
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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