Braudrick, Lisa

Braudrick, Lisa is an individual health care provider with primary practice located at 1515 E Columbia St , Othello WA 99344-1846. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Braudrick, Lisa can be contacted via phone (509) 488-5256.

Contact Information

Primary practice address
1515 E Columbia St Othello WA 99344-1846
Phone: (509) 488-5256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00004024 Washington

Profile Details

NPI number 1073162152
LBN Legal business name Braudrick, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Sep 10th, 2019 - about 6 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 1073162152 NPPES
Washington Other LL00004024 STATE LICENSE

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