Individual
DR. LISA ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
5000 S 13TH ST, LEAVENWORTH, KS 66048-5581
(913) 727-4845
Mailing address
5000 S 13TH ST, LEAVENWORTH, KS 66048-5581
(913) 727-4845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5014
WV
Other
Enumeration date
11/01/2006
Last updated
08/29/2008
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