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NPI Code Detail

MEDICARE: MS. LISA LEUNG RPH

MEDICARE: MS. LISA LEUNG RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist046808NY

General Provider Information

NPI Number : 1730401050
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA LEUNG RPH
Provider Business Mailing Address
First Line : 2590 CONEY ISLAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5537
Country : US
Telephone Number : 718-648-0120
Fax Number : 718-648-0637
Provider Business Practice Location Address
First Line : 2590 CONEY ISLAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5537
Country : US
Telephone Number : 718-648-0120
Fax Number : 718-648-0637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2010
Last Update Date : 03/01/2010

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