Individual
HEATHER NOEL LILJEFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
626 128TH ST SW, STE. 103B, EVERETT, WA 98204-6368
(425) 513-1880
Mailing address
31 228TH ST SW, BOTHELL, WA 98021-8601
(425) 208-2928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00011339
WA
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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