Individual
DR. LISA P MESEROLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, MS
Contact information
Practice address
710 FT CASEY RD, COUPEVILLE, WA 98239-0899
(360) 678-3581
Mailing address
PO BOX 899, COUPEVILLE, WA 98239-0899
(360) 678-3581
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
WA
175F00000X
Naturopath
Primary
NT00000650
WA
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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