NPI | 1124249131 |
---|---|
Former Name | LESLEE MARIE LUCAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: OK 13618) |
Additional Taxonomies | 174H00000X Health Educator |
183500000X Pharmacist (Licence: TX 43340) | |
1835G0303X Pharmacist, Geriatric (Licence: OK 13618) | |
1835N1003X Pharmacist, Nutrition Support (Licence: OK 13618) | |
208U00000X Clinical Pharmacology (Licence: OK 13618) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-10-16 |