MRS. Lisa A Wong, PHARMD

NPI #1114201506 in San Mateo, California

Provider Information

NPI Number: 1114201506
Entity Type: Individual
Name: MRS. Lisa A Wong, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 4, 2011
Last Updated: Oct 4, 2011

Practice Location

Address: 4070 S EL CAMINO REAL
City: San Mateo
State: California
ZIP Code: 94403
Phone: (650) 212-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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