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Individual

MS. LISA ANN CONKLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH

Contact information

Practice address
9255 ATLANTIC DR SW, CEDAR RAPIDS, IA 52404-8950
(319) 396-1386
Mailing address
407 ROCKVALLEY DR SW, CEDAR RAPIDS, IA 52404-1094
(319) 390-3924

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C16242
IA

Other

Enumeration date
06/22/2006
Last updated
07/08/2007
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