Loren Leiseberg
Loren Leiseberg is a Pharmacist in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
901 S Cottage AveNormal, IL 61761-3302
Phone: (309) 454-6080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 051-029200 (IL) |
|---|
Record details
| NPI number | 1902254097 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 30, 2016 |
| Last updated in NPPES | May 30, 2016 |
| Mailing address | 901 S Cottage Ave, Normal, IL 61761-3302 |
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