Kim, M Lisa

Kim, M Lisa is an sole proprietor health care provider with primary practice located at 1700 Saddleridge Ct , Washington IL 61571. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kim, M Lisa can be contacted via phone (309) 648-0922.

Contact Information

Primary practice address
1700 Saddleridge Ct Washington IL 61571
Phone: (309) 648-0922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051285871 Illinois

Profile Details

NPI number 1871878371
LBN Legal business name Kim, M Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2011
Last updated Oct 15th, 2011 - about 13 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.

Request for update

Popular Providers