Lisa Ann Miller

NPI #1992303473 in Mequon, Wisconsin

Provider Information

NPI Number: 1992303473
Entity Type: Individual
Name: Lisa Ann Miller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 7937 W POPLAR DR
City: Mequon
State: Wisconsin
ZIP Code: 53097-3279
Phone: (262) 352-4052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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