Ilyse Lifton, M.D.

NPI #1134214117 in Vancouver, Washington

Provider Information

NPI Number: 1134214117
Entity Type: Individual
Name: Ilyse Lifton, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Oct 4, 2006
Last Updated: Jul 11, 2007

Practice Location

Address: 12607 SE MILL PLAIN BLVD
City: Vancouver
State: Washington
ZIP Code: 98684-6055
Phone: (360) 256-7104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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