Individual
LISA FRITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26240 TUCKERMAN AVE NE, KINGSTON, WA 98346-9414
(360) 621-2885
(360) 297-2407
Mailing address
26240 TUCKERMAN AVE NE, KINGSTON, WA 98346-9414
(360) 621-2885
(360) 297-2407
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
DO2162
WA
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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