# LISA L COONS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487748521
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA10004283 | WA | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 06/17/2014

## 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 |