Individual
MRS. SUZANNE MICHELE LYSOBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1141 BEACH DR E, PORT ORCHARD, WA 98366-4937
(360) 895-4700
Mailing address
7067 WILSON CREEK RD SE, PORT ORCHARD, WA 98367-7924
(805) 202-6293
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61406236
WA
Other
Enumeration date
12/16/2022
Last updated
10/02/2024
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