Individual
DR. LISA MICHELLE MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
27 MANOR DR, WINCHESTER, KY 40391-2349
(859) 749-4185
Mailing address
27 MANOR DR, WINCHESTER, KY 40391-2349
(859) 749-4185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014034
KY
Other
Enumeration date
04/16/2009
Last updated
03/07/2012
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