Lisa Wadsworth

NPI #1598800708 in Lockport, Illinois

Provider Information

NPI Number: 1598800708
Entity Type: Individual
Name: Lisa Wadsworth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacy Technician
Enumeration Date: Feb 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 500 SUMMIT DR
City: Lockport
State: Illinois
ZIP Code: 60441-3392
Phone: (815) 836-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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