Lisa Brown
Individual provider Active NPI Pharmacist · Lanse, MI
NPI 1982164844 · NPPES record last updated Mar 25, 2019
Key facts
- NPI
- 1982164844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302028113 (MI)
- Practice address
- 18341 US Highway 41
Lanse, MI 49946-8024 - Phone
- (906) 524-6202
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302028113 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L'Anse Pharmacy Inc. | Current | Accepting new patients |
Locations
18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302028113 | MI | Yes |
Addresses
Primary practice location
18341 US Highway 41
Lanse, MI 49946-8024
Mailing address
13446 Sunset Dr
Lanse, MI 49946-8370
Phone (906) 201-4188
Other providers in Lanse, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.