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Mrs. Lisa Marie Jin, PA
Military Health Care Provider in Tacoma, Washington
NPI 1124343272

Lisa Marie Jin is a Military Health Care Provider based in Fort Moore, WA. Lisa Marie Jin practices in Tacoma, WA and has the professional credentials of PA. The NPI Number for Lisa Marie Jin is 1124343272 and holds a License No. (Washington).

The current practice location address for Lisa Marie Jin is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-2252.

Location: 9040 Jackson Ave, Tacoma, WA, 31905-6548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124343272
Provider Name
Lisa Marie Jin
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
9040 Jackson Ave, Tacoma, WA, 31905-6548
Phone Number
253-968-2252
Fax Number
Provider Enumeration Date
04/01/2010
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-2705
Phone Number
253-968-2252
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-2705
Phone Number
253-968-2252
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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