Individual
LISA MICHELE DIGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5015
Mailing address
PO BOX 401, YELM, WA 98597-0401
(360) 894-4823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00163261
WA
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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