Individual
DR. COLE R LIGHTFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3000
Mailing address
2022 N 81ST ST, WAUWATOSA, WI 53213-1602
(815) 721-0942
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
18519
WI
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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