Individual
LISA A MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 33RD AVE W, STE 100, SEATTLE, WA 98199-3252
(206) 320-3364
(206) 320-5869
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 783-3948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00043847
WA
207VX0000X
Obstetrics Physician
MD00043847
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202532
LABOR AND INDUSTRIES
WA
05
—
8438871
—
WA
Enumeration date
12/15/2006
Last updated
10/08/2020
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