Individual
DR. LISA MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Mailing address
155 OSBORN ST, PHILADELPHIA, PA 19128-3716
(757) 285-7164
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD60078036
WA
Other
Enumeration date
07/05/2008
Last updated
03/31/2022
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