Lisa Petersen
NPI #1407239338 in De Smet, South Dakota
Provider Information
- NPI Number
- 1407239338
- Entity Type
- Individual
- Name
- Lisa Petersen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jul 9, 2015
- Last Updated
- Jul 9, 2015
Practice Location
- Address
- 213 CALUMET AVE SW
- City
- De Smet
- State
- South Dakota
- ZIP Code
- 57231-2161
- Phone
- (605) 854-9033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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