Provider Demographics
NPI:1073968327
Name:GEIGER, LISA MICHELLE (PHARM D)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MICHELLE
Last Name:GEIGER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 N SUNRISE WAY STE I
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-3408
Mailing Address - Country:US
Mailing Address - Phone:760-322-1131
Mailing Address - Fax:760-322-4150
Practice Address - Street 1:1751 N SUNRISE WAY STE I
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-3408
Practice Address - Country:US
Practice Address - Phone:760-322-1131
Practice Address - Fax:760-322-4150
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-24
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA039032183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist