Female

Lillian P. Sisavanh

Pharmacist in Saraland, AL(View on Map)

Full Name

Lillian Phann Sisavanh

NPI Number

1922603141

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/04/2020

Specialties

(Taxonomies)

Code

183500000X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

21506

Contact
Information

Purpose

Mailing
Location

Address

24 SARALAND BLVD N
24 SARALAND BLVD N

City

Saraland
Saraland

State

AL
AL

Postal Code

36571-2408
36571-2408

Country

US
US

Telephone Number

(251) 675-2747
(251) 675-2747

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/04/2020

Provider Address

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