Kenneth M Lonergan

NPI 1770764961 - Pharmacist - 183500000X

NPI Details
NPI 1770764961
Gender Male
Enumeration Date 11/16/2007
Last Updated 11/16/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
600 HIGHLAND AVE
COMPLIANCE MAIL CODE 2433
MADISON WI, 53792-0001, US
Phone (608) 662-0817
Fax
Business Location
600 HIGHLAND AVE
COMPLIANCE MAIL CODE 2433
MADISON WI, 53792-0001, US
Phone (608) 662-0817
Fax
Toxanomy
Taxonomy Code 183500000X
License State Wisconsin
License Number 13858-040
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According to our database, Kenneth M Lonergan NPI is 1770764961, taxonomy code is 183500000X and license number is 13858-040, license state is located at Wisconsin. Kenneth M Lonergan physically located at 600 Highland Ave, Madison WI, 53792-0001. NPI Number Kenneth M Lonergan has the Individual type.

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1770764961 NPI number is provided on an as is basis without warranty of any kind. 1770764961 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth M Lonergan are for informational purposes only.