Individual
LISA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1822 BLACK LAKE BLVD SW STE 103, OLYMPIA, WA 98512-5628
(360) 943-0988
(615) 264-8879
Mailing address
1822 BLACK LAKE BLVD SW STE 103, OLYMPIA, WA 98512-5628
(360) 943-0988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2350
TN
111N00000X
Chiropractor
Primary
CH61009274
WA
Other
Enumeration date
03/21/2013
Last updated
05/20/2024
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