Lisa Marie Shepard, LMP
NPI #1164797759 in Kent, Washington
Provider Information
- NPI Number
- 1164797759
- Entity Type
- Individual
- Name
- Lisa Marie Shepard, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- Mar 14, 2012
- Last Updated
- Mar 14, 2012
Practice Location
- Address
- 21245 110TH AVE SE
- City
- Kent
- State
- Washington
- ZIP Code
- 98031-2145
- Phone
- (253) 886-8578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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