Lise Mary Peterson in Woodinville - Specialist
Lise Mary Peterson - NPI 1073644969
Lise Mary Peterson is a Specialist in Woodinville, Washington. Lise Mary Peterson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lise Mary Peterson is 1073644969. The last update date is 2007-07-08.
Lise Mary Peterson's current location address is 17401 135th Ave Ne, Woodinville, Washington. You can contact this provider via phone number 4254835454 and fax number 4254243256. The mailing address for Lise Mary Peterson is 17401 135th Ave Ne, Woodinville, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lise Mary Peterson |
|---|---|
| Address | 17401 135th Ave Ne, Woodinville, Washington |
| Phone Number | 4254835454 |
| Fax Number | 4254243256 |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1073644969 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17401 135th Ave Ne |
|---|---|
| City | Woodinville |
| State | Washington (WA) |
| Post Code | 980726825 |
| Phone Number | 4254835454 |
| Fax Number | 4254243256 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA00012465 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Lise Mary Peterson?
The Lise Mary Peterson has been issued the NPI (National Provider Identifier) 1073644969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Lise Mary Peterson's facilities are geographically located?
The facilities of Lise Mary Peterson are physically situated at the following location: 17401 135Th Ave Ne, Woodinville, WA, 980726825.
What is the Lise Mary Peterson's area of specialization and corresponding taxonomy classification?
The Lise Mary Peterson's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did Lise Mary Peterson receive its 1073644969 assignment from the Centers for Medicare & Medicaid Services?
The Lise Mary Peterson was assigned its 1073644969 on 2007-03-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Lise Mary Peterson most recently updated?
The details pertaining to the Lise Mary Peterson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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