Individual
LISBETH A. FAULSTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9720 4TH AVE NE, SEATTLE, WA 98115-2143
(360) 883-3000
Mailing address
PO BOX 34581, SEATTLE, WA 98124-1581
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013639
—
WA
Enumeration date
01/03/2007
Last updated
06/01/2009
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