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Individual

MRS. LISA ANN PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 418-6001
Mailing address
9703 NE 83RD CIR, VANCOUVER, WA 98662-2973
(360) 944-1408

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO00001938
WA

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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