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MS. LISA MARIE MLODZIK PHARM D, CGP, FASCP
NPI 1417225731
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kenosha, WI

Active since December 01, 2011
1316 30TH CT, KENOSHA, WI 53144(262) 553-2145(262) 553-2145 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Lisa Marie Mlodzik Pharm D, Cgp, Fascp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA MARIE MLODZIK PHARM D, CGP, FASCP (NPI 1417225731) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Kenosha, Wisconsin, licensed in Wisconsin (12249) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1417225731
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameMS. LISA MARIE MLODZIKCredential: PHARM D, CGP, FASCP
Location Address1316 30TH CTKenosha, WI 53144-3064
Mailing Address1316 30th CtKenosha, WI 53144-3064 · (262) 553-2145 · Fax (262) 553-2145
Phone(262) 553-2145
Fax(262) 553-2145
Sole ProprietorYes
Enumeration DateDecember 1, 2011
✔ NPI 1417225731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in WI · 12249
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacist · PharmacotherapyTaxonomy 1835P1200X · License 114364-9 (MN)
1316 30TH CT, Kenosha, WI 53144
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Mlodzik's NPI number?

The NPI number for Lisa Mlodzik is 1417225731. It was assigned to this individual provider in the NPPES registry on December 1, 2011.

Where is Lisa Mlodzik located?

Lisa Mlodzik practices at 1316 30th Ct, Kenosha, WI 53144. The listed phone number is (262) 553-2145.

What is Lisa Mlodzik's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Lisa Mlodzik was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.