Fanning, Lisa
Fanning, Lisa is an sole proprietor health care provider with primary practice located at 6101 200Th St Sw #206, Lynnwood WA 98036-6077. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Fanning, Lisa can be contacted via phone (425) 774-6402.Contact Information
Primary practice address
6101 200Th St Sw #206
Lynnwood WA 98036-6077
Phone: (425) 774-6402
Fax: (425) 774-6402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA6551 | Washington |
Profile Details
| NPI number | 1831241074 |
|---|---|
| LBN Legal business name | Fanning, Lisa |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831241074 | NPPES |
| Washington | Other | FL9495 | REGENCE PLANS |
Popular Providers
-
Burrows, Sue A
18910 28Th Ave W Suite106, Lynnwood WA 98036-4701 -
Gustafson, Judith M
6231 188Th St Sw , Lynnwood WA 98037-7250 -
Walker, Adriene Kay
19410 36Th Ave W Suite 9, Lynnwood WA 98036-5747 -
Cason, Gwen A
4629 168Th St Sw B, Lynnwood WA 98037-8640 -
Santana, Osmarina V.
4610 200Th St Sw Ste N , Lynnwood WA 98036-6606 -
Quintanar, Tammy Star
4721 200Th St Sw Apt 244 , Lynnwood WA 98036-6630 -
Galvez, Lisa Reidun
16303 Highway 99 1-A, Lynnwood WA 98087-1453 -
Scott, Rachael E
3005 Alderwood Mall Pkwy Suite 100, Lynnwood WA 98036-6920