Individual
DR. LILLIAN MICHELLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
31 NE STATE ROUTE 300 STE 200, BELFAIR, WA 98528
(360) 377-3776
Mailing address
906 9TH ST, CORONADO, CA 92118-2554
(619) 435-9505
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP60839109
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669817623
—
WA
Enumeration date
05/05/2013
Last updated
08/02/2018
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