Holland, Lisa Marie

Holland, Lisa Marie is an individual health care provider with primary practice located at 17638 140Th Ave Ne , Woodinville WA 98072-6800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Holland, Lisa Marie can be contacted via phone (425) 485-4100.

Contact Information

Primary practice address
17638 140Th Ave Ne Woodinville WA 98072-6800
Phone: (425) 485-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60064840 Washington

Profile Details

NPI number 1790719870
LBN Legal business name Holland, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Sep 6th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790719870 NPPES
Washington MEDICAID 1790719870
Washington Other 0246417

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