Mican, Lisa Marie

Mican, Lisa Marie is an individual health care provider with primary practice located at 4110 Guadalupe St , Austin TX 78751-4223. She recently has only one registered license in Pharmacy Service Providers / Psychiatric, which is considered as her primary health care specialty. Mican, Lisa Marie can be contacted via phone (512) 419-2757.

Contact Information

Primary practice address
4110 Guadalupe St Austin TX 78751-4223
Phone: (512) 419-2757
Fax: (512) 419-2788
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Psychiatric 1835P1300X 39245 Texas

Profile Details

NPI number 1932106424
LBN Legal business name Mican, Lisa Marie
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Dec 2nd, 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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