Organization
LISA K LUND RPT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA K LUND RPT INC (OWNER)
(206) 855-0955
Entity
Organization
Contact information
Practice address
840 MADISON AVE N, SUITE 102, BAINBRIDGE ISLAND, WA 98110-1769
(206) 855-0955
(206) 855-0801
Mailing address
840 MADISON AVE N, SUITE 102, BAINBRIDGE ISLAND, WA 98110-1769
(206) 855-0955
(206) 855-0801
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT0003258
WA
Other
Enumeration date
10/15/2007
Last updated
02/20/2008
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