Individual
LISA A TAITSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036178296
IL
207X00000X
Orthopaedic Surgery Physician
MD00040103
WA
207XX0801X
Orthopaedic Trauma Physician
MD00040103
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0232023
L&I
WA
05
—
1760524722
—
WA
01
—
200042544
RAIL ROAD MEDICARE
WA
Enumeration date
02/13/2007
Last updated
03/23/2026
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