Anderson, Lissa Brod

Anderson, Lissa Brod is an individual health care provider with primary practice located at 1802 Yakima Ave Ste 208, Tacoma WA 98405-4499. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Anderson, Lissa Brod can be contacted via phone (253) 985-2722.

Contact Information

Primary practice address
1802 Yakima Ave Ste 208 Tacoma WA 98405-4499
Phone: (253) 985-2722
Fax: (253) 985-2853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD29211 Oregon
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD60222384 Washington
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2084H0002X MD60222384 Washington

Profile Details

NPI number 1134365489
LBN Legal business name Anderson, Lissa Brod
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2008
Last updated Feb 24th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134365489 NPPES
Washington Other 0284389 STATE L&I
Washington Other 0284393 STATE L&I
Washington Other 0284399 STATE L&I

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