Individual
LISA KATHERINE GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1959 NE PACIFIC ST, UNIVERSITY OF WASHINGTON MEDICAL CTR, SEATTLE, WA 98195-0001
(206) 598-4882
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD00040280
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238620
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8429979
—
WA
Enumeration date
10/27/2006
Last updated
01/18/2022
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