Individual
JENNIFER W LISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2109
(206) 987-3852
Mailing address
4800 SAND POINT WAY NE, W7706, SEATTLE, WA 98105-3901
(206) 987-3834
(206) 987-8484
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00045309
WA
Other
Enumeration date
05/27/2006
Last updated
12/31/2007
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