Roberts, Lisa A

Roberts, Lisa A is an individual health care provider with primary practice located at 3555 Monte Villa Pkwy , Bothell WA 98021-8982. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Roberts, Lisa A can be contacted via phone (425) 288-2104.

Contact Information

Primary practice address
3555 Monte Villa Pkwy Bothell WA 98021-8982
Phone: (425) 288-2104
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003907 Washington

Profile Details

NPI number 1437298296
LBN Legal business name Roberts, Lisa A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jun 21st, 2013 - about 13 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 1437298296 NPPES
Washington MEDICAID 8363061

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