Ilyse Lifton M.D.

NPI 1134214117 - Pediatrics - 208000000X

NPI Details
NPI 1134214117
Gender Female
Enumeration Date 10/04/2006
Last Updated 07/11/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12607 SE MILL PLAIN BLVD
VANCOUVER WA, 98684-6055, US
Phone (360) 256-7104
Fax
Business Location
12607 SE MILL PLAIN BLVD
VANCOUVER WA, 98684-6055, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State Oregon
License Number MD25907
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According to our database, Ilyse Lifton M.D. NPI is 1134214117, taxonomy code is 208000000X and license number is MD25907, license state is located at Oregon. Ilyse Lifton M.D. physically located at 12607 Se Mill Plain Blvd, Vancouver WA, 98684-6055. NPI Number Ilyse Lifton M.D. has the Individual type.

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1134214117 NPI number is provided on an as is basis without warranty of any kind. 1134214117 is maintained by the National Plan & Provider Enumeration System. The contents of Ilyse Lifton M.D. are for informational purposes only.