Individual
LISA DODGE-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2132 44TH AVE SW, CITY, SEATTLE, WA 98116-2102
(206) 841-4112
(206) 937-1933
Mailing address
2132 44TH AVE SW, CITY, SEATTLE, WA 98116-2102
(206) 841-4112
(206) 937-1933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60407656
WA
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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