Individual
LISA MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
13317 NE 175TH ST STE N, WOODINVILLE, WA 98072-3517
(425) 434-1500
(425) 977-9485
Mailing address
11410 NE 124TH ST # PM702, KIRKLAND, WA 98034-4305
(425) 434-1500
(425) 977-9485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004081
WA
Other
Enumeration date
05/04/2006
Last updated
01/28/2021
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