Individual
MRS. LISA MARIE RETCHLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
14040 NE 8TH ST, 202, BELLEVUE, WA 98007-4122
(425) 260-9820
Mailing address
14040 NE 8TH ST, 202, BELLEVUE, WA 98007-4122
(425) 260-9820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016463
WA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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