Graham, Lisa Marie

Graham, Lisa Marie is an individual health care provider with primary practice located at 325 E George Hopper Rd #106, Burlington WA 98233-3154. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Graham, Lisa Marie can be contacted via phone (360) 707-2300.

Contact Information

Primary practice address
325 E George Hopper Rd #106 Burlington WA 98233-3154
Phone: (360) 707-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA 00015542 Washington

Profile Details

NPI number 1467757732
LBN Legal business name Graham, Lisa Marie
Credentials L.M.P
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2011
Last updated Jun 13th, 2012 - about 14 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 1467757732 NPPES
Washington Other MA 00015542 MASSAGE PRACTITIONER LICENSE

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