Deyoung, Lisa M

Deyoung, Lisa M is an individual health care provider with primary practice located at 6002 Westgate Blvd Ste 230 , Tacoma WA 98406-2572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Deyoung, Lisa M can be contacted via phone (253) 272-8664.

Contact Information

Primary practice address
6002 Westgate Blvd Ste 230 Tacoma WA 98406-2572
Fax: (253) 779-8364
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP61371086 Washington

Profile Details

NPI number 1588380141
LBN Legal business name Deyoung, Lisa M
Credentials A-GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2022
Last updated Jan 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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