Individual
MRS. LISA JOY KELLEY MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 392-4600
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
118724
MN
183500000X
Pharmacist
Primary
14761-040
WI
183500000X
Pharmacist
23266
IA
Other
Enumeration date
11/19/2009
Last updated
01/14/2021
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