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Individual
MRS. LISA M. GILBERTSON
Active
Individual
MRS. LISA M. GILBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3825
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210756
WA DEPT OF LABOR & INDUS
WA
01
—
2003875-02
REGENCE BC/HMO
OR
05
—
278297
—
OR
01
—
340869
PROVIDENCE HEALTH PLAN
OR
01
—
885103002
REGENCE BC/BS
OR
01
—
M1036 36
PACIFIC SOURCE HEALTH PLA
OR
Enumeration date
10/25/2006
Last updated
08/26/2021
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