Individual
LISABETH STOLP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 636-3892
(360) 414-1342
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 636-3892
(360) 414-1342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61513350
WA
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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