Individual
LISA PATRICIA PEPPERDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
813 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4147
(253) 779-3900
(253) 272-2718
Mailing address
15014 STARR RD SE, OLALLA, WA 98359-9537
(253) 853-7873
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30006753
WA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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