Individual
MISS LISA MARIE MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
620 KIRKLAND WAY STE 105, KIRKLAND, WA 98033-6021
(425) 822-1859
Mailing address
30837 STATE ROUTE 20, SEDRO WOOLLEY, WA 98284-8085
(425) 822-1859
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013444
WA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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