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Individual

LISA A EASTON-HUMMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
555 DAYTON ST STE A3, EDMONDS, WA 98020-3647
(425) 670-3710
(425) 670-3711
Mailing address
555 DAYTON ST STE A3, EDMONDS, WA 98020-3647
(425) 670-3710
(425) 670-3711

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30003284
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9615618
WA
Enumeration date
12/21/2005
Last updated
03/29/2022
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