Individual
MRS. LISA MARIE BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
312 S JAMES ST, GRAYLING, MI 49738-1818
(989) 348-1350
Mailing address
2309 DEEPWOODS DR, GAYLORD, MI 49735-8257
(989) 448-0388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030097
MI
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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