Individual
LISA LYN BARRIENTOS-HAASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
21107 SR 410 E., BONNEY LAKE, WA 98391
(253) 447-4126
Mailing address
21222 117TH ST E, BONNEY LAKE, WA 98391-7750
(253) 447-4599
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024170
WA
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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