Individual
LISA D HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.O
Contact information
Practice address
620 SE EVERETT MALL WAY STE 320, EVERETT, WA 98208-3279
(425) 355-2377
(425) 710-0895
Mailing address
620 SE EVERETT MALL WAY STE 320, EVERETT, WA 98208-3279
(425) 355-2377
(425) 710-0895
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1615
WA
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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