Individual
LISA MARIE WENNERLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
5415 LYNDALE AVE S, MINNEAPOLIS, MN 55419-1717
(612) 824-1121
(612) 824-5577
Mailing address
5415 LYNDALE AVE S, MINNEAPOLIS, MN 55419-1717
(612) 824-1121
(612) 824-5577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114881
MN
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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