Individual
LISA ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7937 W POPLAR DR, MEQUON, WI 53097-3279
(262) 352-4052
Mailing address
7937 W POPLAR DR, MEQUON, WI 53097-3279
(262) 352-4052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17814-40
WI
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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