Lisa M Douglass
Lisa M Douglass is a Pharmacist in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
1900 W Jefferson StSpringfield, IL 62702-2202
Phone: (217) 787-0648
Fax: (217) 787-0911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 051-287905 (IL) |
|---|
Record details
| NPI number | 1780964817 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 20, 2011 |
| Last updated in NPPES | August 20, 2011 |
| Mailing address | 1900 W Jefferson St, Springfield, IL 62702-2202 |
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