Teneyck, Lisa

Teneyck, Lisa is an individual health care provider with primary practice located at 11315 Bridgeport Way Sw , Lakewood WA 98499-3004. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Teneyck, Lisa can be contacted via phone (253) 589-8700.

Contact Information

Primary practice address
11315 Bridgeport Way Sw Lakewood WA 98499-3004
Phone: (253) 589-8700
Fax: (253) 581-6588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00048350 Washington

Profile Details

NPI number 1487762506
LBN Legal business name Teneyck, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Feb 20th, 2008 - about 16 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 1487762506 NPPES
Washington Other 0222147 LIWA
Washington Other 7554TE LIWA
Washington MEDICAID 8484685 LIWA

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