Individual
ALYSSA LUKANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 N CENTRAL AVE, MARSHFIELD, WI 54449-8337
(715) 486-9439
Mailing address
208545 HERITAGE RIDGE RD, SPENCER, WI 54479-3446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17491-40
WI
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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