Glasser, Lisa Ilana
Glasser, Lisa Ilana is an sole proprietor health care provider with primary practice located at 7683 Se 27Th St #310, Mercer Island WA 98040-2804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Glasser, Lisa Ilana can be contacted via phone (206) 941-9306.Contact Information
Primary practice address
7683 Se 27Th St #310
Mercer Island WA 98040-2804
Phone: (206) 941-9306
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 60322125 | Washington |
Profile Details
| NPI number | 1407858111 |
|---|---|
| LBN Legal business name | Glasser, Lisa Ilana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Dec 12th, 2013 - about 12 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 | 1407858111 | NPPES |
| Nevada | MEDICAID | 002018722 |
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