DR. Lisa Marie Cunningham

NPI #1962006189 in Taylorville, Illinois

Provider Information

NPI Number: 1962006189
Entity Type: Individual
Name: DR. Lisa Marie Cunningham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 29, 2020
Last Updated: Nov 29, 2020

Practice Location

Address: 401 N WEBSTER ST
City: Taylorville
State: Illinois
ZIP Code: 62568-1568
Phone: (217) 287-7951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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