Individual
LISBETH BRUCKNR LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3010 NE 113TH ST, SEATTLE, WA 98125-6847
(206) 498-2532
Mailing address
3010 NE 113TH ST, SEATTLE, WA 98125-6847
(206) 498-2532
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00001417
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 00001417
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
02/25/2013
Last updated
02/25/2013
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