Individual
LISA KERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
5604 70TH ST NE, MARYSVILLE, WA 98270-4148
(425) 314-0189
Mailing address
5604 70TH ST NE, MARYSVILLE, WA 98270-4148
(425) 314-0189
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-64979
WA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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