Individual
LISA BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
690 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 98438-1303
(253) 982-2222
Mailing address
10423 RAINIER RIDGE BLVD E APT K102, PUYALLUP, WA 98374-8066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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