Mlodzik, Lisa Marie

Mlodzik, Lisa Marie is an sole proprietor health care provider with primary practice located at 1316 30Th Ct , Kenosha WI 53144-3064. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Mlodzik, Lisa Marie can be contacted via phone (262) 553-2145.

Contact Information

Primary practice address
1316 30Th Ct Kenosha WI 53144-3064
Phone: (262) 553-2145
Fax: (262) 553-2145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 12249 Wisconsin
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 114364-9 Minnesota

Profile Details

NPI number 1417225731
LBN Legal business name Mlodzik, Lisa Marie
Credentials PHARM D, CGP, FASCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2011
Last updated Dec 1st, 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.

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