Individual
DR. LISSA KATE LUBINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Mailing address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD60088515
WA
208M00000X
Hospitalist Physician
Primary
MD60088515
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010122
—
WA
01
—
302615
L&I
WA
Enumeration date
09/23/2007
Last updated
03/31/2017
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