Individual
LISA HERSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3440
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004582RX
OH
Other
Enumeration date
01/29/2016
Last updated
11/05/2021
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