Provider Demographics
NPI:1659446623
Name:KIRSCHENMANN, LANA L (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LANA
Middle Name:L
Last Name:KIRSCHENMANN
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 1:7915 AQUARIUS DR
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-7913
Mailing Address - Country:US
Mailing Address - Phone:701-237-4192
Mailing Address - Fax:
Practice Address - Street 1:4151 45TH ST S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-4306
Practice Address - Country:US
Practice Address - Phone:701-282-8075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist