Individual
LILLIAN S. STONEKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-2727
(360) 474-2739
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
(360) 414-2048
(360) 575-6749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00332
TX
363A00000X
Physician Assistant
PA10005191
WA
363AM0700X
Medical Physician Assistant
PA00332
TX
363AM0700X
Medical Physician Assistant
Primary
PA10005191
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222576
LABOR & INDUSTRIES
WA
05
—
8486128
—
WA
01
—
8944962
CRIME VICTIMS
WA
Enumeration date
03/22/2007
Last updated
11/14/2007
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