Lisa Sudderth

NPI #1558432187 in Ardmore, Oklahoma

Provider Information

NPI Number
1558432187
Entity Type
Individual
Name
Lisa Sudderth
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Nov 13, 2006
Last Updated
Jul 24, 2007

Practice Location

Address
2510 CHICKASAW BLVD
ZIP Code
73401-1341
Phone
(580) 226-8181

Specialties & Taxonomy Codes

Specialty
Pharmacist

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