Individual
MS. PENNY MAREE LEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
18927 33RD AVE W, SUITE B, LYNNWOOD, WA 98036-4726
(425) 776-1056
Mailing address
PO BOX 1214, LYNNWOOD, WA 98046-1214
(425) 220-4054
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
MA00019308
WA
Other
Enumeration date
11/08/2006
Last updated
02/13/2008
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