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Individual

MRS. LISA SAMBATARO RUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN, IBCLC

Contact information

Practice address
8115 4TH AVE SW, SEATTLE, WA 98106-2153
(296) 763-2733
(206) 762-0746
Mailing address
8520 218TH ST SW, EDMONDS, WA 98026-7859
(425) 967-5887

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00134333
WA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
10726459
WA

Other

Enumeration date
10/30/2009
Last updated
10/30/2009
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