Individual
DR. LISA THOTTAPPILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(201) 310-9711
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(201) 310-9711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD163908
OR
207Q00000X
Family Medicine Physician
Primary
MD60529771
WA
Other
Enumeration date
04/09/2010
Last updated
05/18/2021
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