Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA MARIE MLODZIK, PHARM D, CGP, FASCP
Active Sole ProprietorPharmacist Clinician (PhC) · KENOSHA, WI
Registration Details
- NPI Number
- 1417225731
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2011 (14.398975514405 yrs)
- Last Updated
- Dec 1, 2011
- Licenses
-
12249 (WI)114364-9 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1316 30TH CTKENOSHA, WI, 531443064Browse WI providers · Browse ZIP 53144
- Phone
- 2625532145
- Fax
- 2625532145
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacotherapy Specialist
Other Pharmacist Clinician (PhC) Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS GASZAK | — | 1164799318 |
| RANJITHA INGUVA | — | 1518364397 |
| LISA NEYENS | PHARMD | 1366063133 |
| DR. JILL RAE DWORSCHACK | PHARMD | 1770194995 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.