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Individual
LISA L COONS
Active
Individual
LISA L COONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004283
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161307
STATE L&I
WA
05
—
8349029
—
WA
01
—
8902506
STATE CRIME VICTIMS
WA
01
—
970025572
RAILROAD
WA
Enumeration date
10/03/2006
Last updated
06/17/2014
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