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Individual
LISA JORDAN
Active
Individual
LISA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC., EAMP
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60726288
WA
174400000X
Specialist
MA00009146
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902966732
ACUPUNCTURE
WA
Enumeration date
12/11/2006
Last updated
02/27/2019
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