Peterson, Lise Mary

Peterson, Lise Mary is an sole proprietor health care provider with primary practice located at 17401 135Th Ave Ne Suite 4, Woodinville WA 98072-6825. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Peterson, Lise Mary can be contacted via phone (425) 483-5454.

Contact Information

Primary practice address
17401 135Th Ave Ne Suite 4 Woodinville WA 98072-6825
Fax: (425) 424-3256
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA00012465 Washington

Profile Details

NPI number 1073644969
LBN Legal business name Peterson, Lise Mary
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 17 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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