Individual
LISA ANN KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7321 58TH STREET CT W, #303, UNIVERSITY PLACE, WA 98467-4723
(253) 302-6447
Mailing address
7321 58TH STREET CT W, #303, UNIVERSITY PLACE, WA 98467-4723
(253) 302-6447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60101493
WA
Other
Enumeration date
10/24/2009
Last updated
10/24/2009
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