Tang, Lisa M

Tang, Lisa M is an individual health care provider with primary practice located at 6800 Ogden Ave , Berwyn IL 60402-3643. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Tang, Lisa M can be contacted via phone (708) 749-9061.

Contact Information

Primary practice address
6800 Ogden Ave Berwyn IL 60402-3643
Fax: (708) 749-2478
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051291370 Illinois

Profile Details

NPI number 1063792646
LBN Legal business name Tang, Lisa M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2011
Last updated Aug 26th, 2011 - about 14 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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