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Individual

LISA M GILLETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
24215 PACIFIC HWY S, DES MOINES, WA 98198-4024
(206) 436-6380
(206) 436-6385
Mailing address
1200 12TH AVE S, SUITE 901, SEATTLE, WA 98144-2712
(206) 548-3114
(206) 762-6355

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60387105
WA

Other

Enumeration date
08/05/2013
Last updated
01/27/2016
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