Individual
MRS. LISA D CREIGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 WOOD CREEK DR, LYNDEN, WA 98264-1107
(369) 510-4432
(360) 318-0822
Mailing address
605 WOOD CREEK DR, LYNDEN, WA 98264-1107
(360) 510-4432
(360) 318-0822
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO00001440
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031342
—
WA
Enumeration date
11/06/2006
Last updated
07/09/2007
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