Bonnie Lynn Lisch

NPI #1689278806 in Euclid, Ohio

Provider Information

NPI Number: 1689278806
Entity Type: Individual
Name: Bonnie Lynn Lisch
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 29, 2020
Last Updated: Nov 29, 2020

Practice Location

Address: 22001 LAKE SHORE BLVD
City: Euclid
State: Ohio
ZIP Code: 44123-1710
Phone: (216) 731-2155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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