Individual
ERIC RONALD LIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE # F6133, COMPLIANCE MC 2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
600 HIGHLAND AVE F6/133, MADISON, WI 53792-0001
(608) 263-1284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15544-040
WI
Other
Enumeration date
07/02/2009
Last updated
07/22/2009
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