Lisa M Douglass

NPI #1780964817 in Springfield, Illinois

Provider Information

NPI Number
1780964817
Entity Type
Individual
Name
Lisa M Douglass
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Aug 20, 2011
Last Updated
Aug 20, 2011

Practice Location

Address
1900 W JEFFERSON ST
ZIP Code
62702-2202
Phone
(217) 787-0648

Specialties & Taxonomy Codes

Specialty
Pharmacist

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