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Individual

LISA OWENS-DICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
Mailing address
3901 HOYT AVE, EVERETT, WA 98201-4918

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100004861
WA

Other

Enumeration date
11/08/2006
Last updated
07/22/2014
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