Lisa Ann Kingsley, LMP

NPI #1417283557 in University Place, Washington

Provider Information

NPI Number: 1417283557
Entity Type: Individual
Name: Lisa Ann Kingsley, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Oct 24, 2009
Last Updated: Oct 24, 2009

Practice Location

Address: 7321 58TH STREET CT W
Address 2: #303
City: University Place
State: Washington
ZIP Code: 98467-4723
Phone: (253) 302-6447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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