Individual
LISA WILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
7224 HILLRIDGE PL SE, PORT ORCHARD, WA 98367-9572
(360) 874-1850
Mailing address
7224 HILLRIDGE PL SE, PORT ORCHARD, WA 98367-9572
(360) 874-1850
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00045916
WA
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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