Individual
LIFANG NAILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 N DEVINE RD STE B, VANCOUVER, WA 98661-6979
(360) 952-4457
Mailing address
4605 ENTERPRISE WAY STE 101, CALDWELL, ID 83605-6889
(208) 795-5090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61504145
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043927882
—
ID
01
—
12729342
CAQH
ID
Enumeration date
05/23/2022
Last updated
02/28/2025
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