Peters, Lisa Mae
Peters, Lisa Mae is an individual health care provider with primary practice located at 1905 4Th Ave E Ste B , Olympia WA 98506-4631. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Peters, Lisa Mae can be contacted via phone (360) 338-0600.Contact Information
Primary practice address
1905 4Th Ave E Ste B
Olympia WA 98506-4631
Phone: (360) 338-0600
Fax: (360) 338-0601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60535132 | Washington |
Profile Details
| NPI number | 1194194233 |
|---|---|
| LBN Legal business name | Peters, Lisa Mae |
| Credentials | CP60535132 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2015 |
| Last updated | Oct 26th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194194233 | NPPES |
| Washington | MEDICAID | 2107411 |
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