Individual
DR. LISA CAROL HOLLOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPP
Contact information
Practice address
11370 WILSHIRE BOULEVARD, BUILDING 206 ROOM 230, LOS ANGELES, CA 90073
(310) 478-3711
(310) 268-4801
Mailing address
9009 LLOYD PL, WEST HOLLYWOOD, CA 90069-5504
(310) 859-1288
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
496202
CA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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