Lisa Bushey

NPI #1326279761 in Kent, Washington

Provider Information

NPI Number: 1326279761
Entity Type: Individual
Name: Lisa Bushey
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 3, 2009
Last Updated: Aug 3, 2009

Practice Location

Address: 11328 SE KENT KANGLEY RD APT H202
City: Kent
State: Washington
ZIP Code: 98030-7754
Phone: (253) 249-8825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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