Individual
DR. LISA MARIE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17638 140TH AVE NE, WOODINVILLE, WA 98072-6800
(425) 485-4100
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60064840
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0246417
L&I
WA
05
—
1790719870
—
WA
Enumeration date
07/11/2006
Last updated
09/06/2012
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