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Individual

LISA ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R. PH.

Contact information

Practice address
2206 S M 76, WEST BRANCH, MI 48661-9343
(989) 345-5610
(989) 345-7987
Mailing address
2206 S M 76, P.O. BOX 249, WEST BRANCH, MI 48661-9343
(989) 345-5610
(989) 345-7987

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027957
MI

Other

Enumeration date
09/17/2009
Last updated
09/17/2009
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