Individual
LISA A DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9537 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1513
(253) 984-2000
(253) 984-2049
Mailing address
2117 27TH PL SE, PUYALLUP, WA 98372-5145
(253) 365-1822
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61013195
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156372
—
WA
Enumeration date
10/30/2019
Last updated
12/20/2021
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