| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LISA RENEE EDGERTON | 1396334934 | 2021-01-17 |
Lisa Renee Edgerton is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396334934. Registration indicates Lisa Renee Edgerton is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Mrs. Lisa Renee Edgerton RPH |
| Practice Office Address | 805 N WHITTINGTON PKWY LOUISVILLE, KY US |
| Practice Office Telephone | 6147471474 |
| Mailing Address | 805 N WHITTINGTON PKWY LOUISVILLE, KY 402227101 US |
| Business Telephone | 6147471474 |
| work email [] | [email protected] | Health Information Exchange (HIE) |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 03-1-18791
OH |