Provider Demographics
NPI:1598041444
Name:ZEIGLER, LISA ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:ZEIGLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 LITTLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-3673
Mailing Address - Country:US
Mailing Address - Phone:727-804-4994
Mailing Address - Fax:
Practice Address - Street 1:3614 S 31ST ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-2813
Practice Address - Country:US
Practice Address - Phone:254-899-8484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48529183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist