Gilliam, Lisa Katherine

Gilliam, Lisa Katherine is an individual health care provider with primary practice located at 1959 Ne Pacific St University Of Washington Medical Ctr, Seattle WA 98195-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Gilliam, Lisa Katherine can be contacted via phone (206) 598-4882.

Contact Information

Primary practice address
1959 Ne Pacific St University Of Washington Medical Ctr Seattle WA 98195-0001
Phone: (206) 598-4882
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD00040280 Washington

Profile Details

NPI number 1811072648
LBN Legal business name Gilliam, Lisa Katherine
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jan 18th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811072648 NPPES
Washington MEDICAID 8429979
Washington Other 238620

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