Individual
DR. LISSA BROD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1802 YAKIMA AVE, STE 208, TACOMA, WA 98405-4499
(253) 985-2722
(253) 985-2853
Mailing address
1802 YAKIMA AVE, STE 208, TACOMA, WA 98405-4499
(253) 985-2722
(253) 985-2853
Taxonomy
Speciality
Code
Description
License number
State
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
Primary
MD60222384
WA
2084N0400X
Neurology Physician
MD29211
OR
2084N0400X
Neurology Physician
MD60222384
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0284389
STATE L&I
WA
01
—
0284393
STATE L&I
WA
01
—
0284399
STATE L&I
WA
Enumeration date
12/16/2008
Last updated
02/24/2016
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