Provider Demographics
NPI:1134363948
Name:SOZIO, LISA DIANE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:DIANE
Last Name:SOZIO
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 1:8240 SWANN HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3611
Mailing Address - Country:US
Mailing Address - Phone:813-910-8803
Mailing Address - Fax:
Practice Address - Street 1:8240 SWANN HOLLOW DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3611
Practice Address - Country:US
Practice Address - Phone:813-910-8803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist