Individual
LISA VAN LOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 NE 54TH ST, VANCOUVER, WA 98663-1945
(360) 313-2506
Mailing address
2800 NE 54TH ST, VANCOUVER, WA 98663-1945
(360) 313-2506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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