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NPI Code Detail

MEDICARE: LISA HAMMEL PHARMD

MEDICARE: LISA HAMMEL PHARMD
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
1183500000XPharmacist16426-040WI

General Provider Information

NPI Number : 1619217429
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA HAMMEL PHARMD
Provider Business Mailing Address
First Line : 516 MONUMENT SQ
Second Line :
City : RACINE
State : WI
Zip : 53403-1033
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 516 MONUMENT SQ
Second Line :
City : RACINE
State : WI
Zip : 53403-1033
Country : US
Telephone Number : 262-632-0520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2013
Last Update Date : 01/24/2014

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Directions to “ LISA HAMMEL PHARMD” Practice Location

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