Individual
LISSETTE RAMIREZ SUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
560 GAGE BLVD STE 203, KADLEC CLINIC SENIOR HEALTH, RICHLAND, WA 99352-8650
(509) 942-3627
(509) 942-2268
Mailing address
560 GAGE BLVD, SUITE 203, RICHLAND, WA 99352-8650
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
61003794
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD60346972
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851684914
—
WA
Enumeration date
05/24/2011
Last updated
06/24/2021
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