Individual
LITA FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD STE 100, VANCOUVER, WA 98661-7254
(360) 993-3189
(360) 737-3451
Mailing address
6926 NE FOURTH PLAIN BLVD STE 100, VANCOUVER, WA 98661-7254
(360) 993-3189
(360) 737-3451
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
07/17/2019
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