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Individual

LISA M VAN HOFWEGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
722 N STATE ST, BELLINGHAM, WA 98225-5334
(360) 752-2865
(360) 647-8093
Mailing address
3610 MERIDIAN ST, BELLINGHAM, WA 98225-1732
(360) 318-8800

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36504
IA
207Q00000X
Family Medicine Physician
Primary
MD60136339
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0273454
LABOR AND INDUSTRIES
WA
Enumeration date
11/09/2006
Last updated
04/27/2026
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