Individual
LISA MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 CUSTER WAY SE STE D, TUMWATER, WA 98501-3300
(360) 570-8016
(360) 570-8275
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00007623
WA
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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