Gail, Lisa Marie

Gail, Lisa Marie is an individual health care provider with primary practice located at 10004 204Th Ave E # 1200, 3400, Bonney Lake WA 98391-6539. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gail, Lisa Marie can be contacted via phone (253) 848-5951.

Contact Information

Primary practice address
10004 204Th Ave E # 1200, 3400 Bonney Lake WA 98391-6539
Phone: (253) 848-5951
Fax: (253) 845-7073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60729786 Washington

Profile Details

NPI number 1740564798
LBN Legal business name Gail, Lisa Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2011
Last updated May 8th, 2017 - about 8 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.

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