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Individual

LISA LOUISE LONGANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9601 BUJACICH RD NW, GIG HARBOR, WA 98332-8300
(253) 858-4266
(253) 858-4258
Mailing address
9601 BUJACICH RD NW, GIG HARBOR, WA 98332-8300
(253) 858-4266
(253) 858-4258

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60021343
WA
208000000X
Pediatrics Physician
60021343
WA

Other

Enumeration date
01/14/2010
Last updated
02/16/2023
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