Most Relevant Information
Provider Data
NPI Number: | 1003197393 |
Provider Name: | LISA ELLIOTT SHARP DPH |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 12806 |
Most Important Dates
Enumeration Date: | 08/31/2011 |
Last Updated: | 08/31/2011 |
Provider Practice Location
723 NW HEINZWOOD CIR
LAWTON
OK
735054950
Practice Location Phone/Fax
Phone: | 5803535505 |
Fax: |
Provider Mailing Location
723 NW HEINZWOOD CIR
LAWTON
OK
735054950
Provider Mailing Phone/Fax
Phone: | 5803535505 |
Fax: |