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Individual

LILLIAM A SIERRA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7301 W DESCHUTES AVE, SUITE A, KENNEWICK, WA 99336-7757
(509) 374-1962
(509) 374-0572
Mailing address
7301 W DESCHUTES AVE, SUITE A, KENNEWICK, WA 99336-7757
(509) 374-1962
(509) 374-0572

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD00024390
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1089663
WA
Enumeration date
07/26/2005
Last updated
07/08/2007
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