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Individual

DR. LISA ANN ELLINGSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS MS

Contact information

Practice address
1005 N EVERGREEN RD STE 201, SPOKANE VALLEY, WA 99216-1485
(509) 921-5666
(509) 927-4842
Mailing address
1005 N EVERGREEN RD STE 201, SPOKANE VALLEY, WA 99216-1485
(509) 921-5666
(509) 927-4842

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE 9902
WA

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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