Garner, Lisa Dawn

Garner, Lisa Dawn is an individual health care provider with primary practice located at 129 W Locust St , Davenport IA 52803-2803. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Garner, Lisa Dawn can be contacted via phone (563) 324-1641.

Contact Information

Primary practice address
129 W Locust St Davenport IA 52803-2803
Phone: (563) 324-1641
Fax: (563) 884-4480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19366 Iowa

Profile Details

NPI number 1598756694
LBN Legal business name Garner, Lisa Dawn
Credentials PHARMD, RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Sep 13th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598756694 NPPES
Iowa MEDICAID 0004275

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