Provider Demographics
NPI:1861377186
Name:ROMUND, LISA A (RPH)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:A
Last Name:ROMUND
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55417 MACINTOSH CT
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-5341
Mailing Address - Country:US
Mailing Address - Phone:586-292-8162
Mailing Address - Fax:
Practice Address - Street 1:43009 HAYES RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-2352
Practice Address - Country:US
Practice Address - Phone:586-286-5005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302027078183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist