DR. Lisa M Tang

NPI #1063792646 in Berwyn, Illinois

Provider Information

NPI Number: 1063792646
Entity Type: Individual
Name: DR. Lisa M Tang
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 26, 2011
Last Updated: Aug 26, 2011

Practice Location

Address: 6800 OGDEN AVE
City: Berwyn
State: Illinois
ZIP Code: 60402-3643
Phone: (708) 749-9061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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