Individual
LISA DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
770 W HIGH ST STE 450, LIMA, OH 45801-3962
(419) 996-5640
Mailing address
770 W HIGH ST STE 450, LIMA, OH 45801-3962
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
051300463
OH
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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