Lisa Paturzo, PHARMD

Individual provider Active NPI Pharmacist · Lyons, IL

NPI 1679968648 · NPPES record last updated Apr 6, 2015

Key facts

NPI
1679968648
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
051.297345 (IL)
Practice address
4101 1St Ave
Lyons, IL 60534-1028
Phone
(708) 447-6851
Fax
(708) 447-0568
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051.297345ILMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.297345 IL Yes

Addresses

Primary practice location

4101 1St Ave
Lyons, IL 60534-1028

Mailing address

4101 1St Ave
Lyons, IL 60534-1028
Phone (708) 447-6851

Other providers in Lyons, IL

All providers in Lyons, IL · Pharmacist in Illinois

Sources for this page

Verify at the official NPI Registry.