Individual
DR. EMMY LISSA OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11567 CANTERWOOD BLVD, GIG HARBOR, WA 98332-5812
(253) 426-6341
(253) 759-4699
Mailing address
11567 CANTERWOOD BLVD, GIG HARBOR, WA 98332-5812
(253) 426-6341
(253) 759-4699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60069044
WA
208M00000X
Hospitalist Physician
Primary
MD60069044
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002545
—
WA
Enumeration date
10/11/2007
Last updated
03/01/2024
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