Individual
LISA ILANA GLASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7683 SE 27TH ST, #310, MERCER ISLAND, WA 98040-2804
(206) 941-9306
Mailing address
7683 SE 27TH ST, #310, MERCER ISLAND, WA 98040-2804
(206) 941-9306
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60322125
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018722
—
NV
Enumeration date
08/12/2005
Last updated
12/12/2013
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