Provider Demographics
NPI:1942519814
Name:FRANKE, LEZLEE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LEZLEE
Middle Name:
Last Name:FRANKE
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 1:5801 RIDGEWOOD RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1302
Mailing Address - Country:US
Mailing Address - Phone:320-251-5543
Mailing Address - Fax:320-251-5573
Practice Address - Street 1:5801 RIDGEWOOD RD
Practice Address - Street 2:SUITE 1
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1302
Practice Address - Country:US
Practice Address - Phone:320-251-5543
Practice Address - Fax:320-251-5573
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN116657183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist