Individual
LISA MICHELLE MELODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1213 24TH ST STE 100, ANACORTES, WA 98221-2595
(360) 293-3101
Mailing address
1211 24TH ST, ANACORTES, WA 98221-2562
(360) 299-4945
(360) 299-4269
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA22082
CA
363AM0700X
Medical Physician Assistant
Primary
PA61112006
WA
Other
Enumeration date
03/13/2012
Last updated
10/19/2021
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