Individual
DR. LISSA C DAIMARU-ENOKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-4244
(360) 571-4246
Mailing address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-4244
(360) 571-4246
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
32929
AZ
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 60170420
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
867103
—
AZ
Enumeration date
12/13/2005
Last updated
02/04/2022
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