Provider Demographics
NPI:1508147547
Name:SCHOENFELD, LISA
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:SCHOENFELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6317 LIMESTONE RD
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-9170
Mailing Address - Country:US
Mailing Address - Phone:302-234-5440
Mailing Address - Fax:302-234-5444
Practice Address - Street 1:6317 LIMESTONE RD
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-9170
Practice Address - Country:US
Practice Address - Phone:302-234-5440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-05
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0002648183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist