Lisa Marie Presley

NPI #1053897702 in Kirkwood, Missouri

Provider Information

NPI Number: 1053897702
Entity Type: Individual
Name: Lisa Marie Presley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 16, 2018
Last Updated: Jul 16, 2018

Practice Location

Address: 10233 MANCHESTER RD
City: Kirkwood
State: Missouri
ZIP Code: 63122-1532
Phone: (314) 965-4533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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