Individual
MS. LISA TISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
551 E HAWTHORNE RD, SPOKANE, WA 99218-1417
(509) 489-2369
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024174434
VA
363LF0000X
Family Nurse Practitioner
Primary
AP60840779
WA
Other
Enumeration date
04/07/2017
Last updated
04/08/2021
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