Ward, Lysa Susanne

Ward, Lysa Susanne is an individual health care provider with primary practice located at 34515 9Th Ave S , Federal Way WA 98003-6761. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ward, Lysa Susanne can be contacted via phone (253) 838-9700.

Contact Information

Primary practice address
34515 9Th Ave S Federal Way WA 98003-6761
Phone: (253) 838-9700
Fax: (253) 838-6418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00040467 Washington

Profile Details

NPI number 1023053857
LBN Legal business name Ward, Lysa Susanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Feb 1st, 2023 - about last year

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 1023053857 NPPES
Washington Other 0180224 LIWA
Washington Other 1186WA LIWA
Washington Other 0171209 LIWA
Washington Other 2165WA LIWA
Washington Other 2217WA LIWA
Washington Other 0171208 LIWA
Washington MEDICAID 8288730 LIWA

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