Individual provider · Type 1 NPI

Loren Leiseberg

Pharmacist · Normal, IL

NPI number 1902254097 Active

Practice location

901 S Cottage Ave
Normal, IL 61761-3302

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051-029200 (IL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1902254097

Loren Leiseberg's National Provider Identifier is 1902254097, issued on May 30, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Normal, IL. The record was last updated on May 30, 2016.