Lisa Gronneberg

NPI #1417233370 in Eagan, Minnesota

Provider Information

NPI Number
1417233370
Entity Type
Individual
Name
Lisa Gronneberg
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 24, 2011
Last Updated
Dec 29, 2011

Practice Location

Address
1305 CORPORATE CENTER DR
City
Eagan
ZIP Code
55121-1204
Phone
(612) 777-4968

Specialties & Taxonomy Codes

Specialty
Pharmacist

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