Individual
LISA LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3282
(920) 498-4277
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3282
(920) 498-4277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18440-40
WI
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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