Motland, Lisa Ann

Motland, Lisa Ann is an individual health care provider with primary practice located at 27500 168Th Pl Se , Covington WA 98042-5563. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Motland, Lisa Ann can be contacted via phone (425) 690-3430.

Contact Information

Primary practice address
27500 168Th Pl Se Covington WA 98042-5563
Phone: (425) 690-3430
Fax: (425) 690-9430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA60912825 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60912825 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60912825 Washington

Profile Details

NPI number 1194248856
LBN Legal business name Motland, Lisa Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2017
Last updated Sep 8th, 2022 - about 3 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 1194248856 NPPES
Washington MEDICAID 2139449

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