DR. Lisa Marie Mican, PHARM.D.

NPI #1932106424 in Austin, Texas

Provider Information

NPI Number
1932106424
Entity Type
Individual
Name
DR. Lisa Marie Mican, PHARM.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist - Psychiatric
Credential
PHARM.D.
Enumeration Date
Jun 30, 2005
Last Updated
Dec 2, 2015

Practice Location

Address
4110 GUADALUPE ST
City
Austin
State
Texas
ZIP Code
78751-4223
Phone
(512) 419-2757

Specialties & Taxonomy Codes

Specialty
Pharmacist - PsychiatricPsychiatric

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