MS. Lise Mary Peterson, LMP

NPI #1073644969 in Woodinville, Washington

Provider Information

NPI Number: 1073644969
Entity Type: Individual
Name: MS. Lise Mary Peterson, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Mar 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 17401 135TH AVE NE
Address 2: SUITE 4
City: Woodinville
State: Washington
ZIP Code: 98072-6825
Phone: (425) 483-5454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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