Individual
LISA M DEYOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
6002 WESTGATE BLVD STE 230, TACOMA, WA 98406-2572
(253) 272-8664
(253) 779-8364
Mailing address
6002 WESTGATE BLVD STE 230, TACOMA, WA 98406-2572
(253) 272-8664
(253) 779-8364
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61371086
WA
Other
Enumeration date
10/17/2022
Last updated
01/05/2023
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