Lies, Larissa

Lies, Larissa is an individual health care provider with primary practice located at 4747 S Broadway St , Wichita KS 67216-1739. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Lies, Larissa can be contacted via phone (316) 524-4228.

Contact Information

Primary practice address
4747 S Broadway St Wichita KS 67216-1739
Phone: (316) 524-4228
Fax: (316) 529-9020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 14884 Kansas

Profile Details

NPI number 1194113829
LBN Legal business name Lies, Larissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2015
Last updated Jan 5th, 2015 - about 9 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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