Wahl, Lisa Gail

Wahl, Lisa Gail is an individual health care provider with primary practice located at 420 Golf Club Rd Se Suite 204, Lacey WA 98503-1048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wahl, Lisa Gail can be contacted via phone (360) 493-7469.

Contact Information

Primary practice address
420 Golf Club Rd Se Suite 204 Lacey WA 98503-1048
Phone: (360) 493-7469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30007766 Washington

Profile Details

NPI number 1518153949
LBN Legal business name Wahl, Lisa Gail
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Apr 28th, 2021 - about 4 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 1518153949 NPPES
Washington MEDICAID 9654252
Washington Other AP30007766
Washington Other G8888381

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