Lisa Marie White B.S, ATC, EMTB

NPI 1063455608 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1063455608
Gender Female
Enumeration Date 06/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1560 SOLDIER CREEK RD
GRANTS PASS OR, 97526-7869, US
Phone (541) 474-6989
Fax
Business Location
1560 SOLDIER CREEK RD.
GRANTS PASS OR, 97526, US
Phone (541) 474-6989
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Oregon
License Number AT-AT-148663
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According to our database, Lisa Marie White B.S, ATC, EMTB NPI is 1063455608, taxonomy code is 2255A2300X and license number is AT-AT-148663, license state is located at Oregon. Lisa Marie White B.S, ATC, EMTB physically located at 1560 Soldier Creek Rd, Grants Pass OR, 97526-7869. NPI Number Lisa Marie White B.S, ATC, EMTB has the Individual type.

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1063455608 NPI number is provided on an as is basis without warranty of any kind. 1063455608 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Marie White B.S, ATC, EMTB are for informational purposes only.