Individual
DANA LEE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5600 PACIFIC AVE NE, LACEY, WA 98503-6847
(360) 493-2000
Mailing address
612 LINWOOD AVE SW, TUMWATER, WA 98512-6847
(360) 280-2578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 00013210
WA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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