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Lisa Marie Shepard, LMP
Specialist in Kent, Washington
NPI 1164797759

Lisa Marie Shepard is a Specialist based in Kent, WA. Lisa Marie Shepard practices in Kent, WA and has the professional credentials of LMP. The NPI Number for Lisa Marie Shepard is 1164797759 and holds a License No. MA60204242 (Washington).

The current practice location address for Lisa Marie Shepard is 21245 110Th Ave Se, Kent, WA and can be reached out via phone at 253-886-8578.

Location: 21245 110Th Ave Se, Kent, WA, 98031-2145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164797759
Provider Name
Lisa Marie Shepard
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
21245 110Th Ave Se, Kent, WA, 98031-2145
Phone Number
253-886-8578
Fax Number
Provider Enumeration Date
03/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21245 110Th Ave Se
City
Kent
State
Washington
Zip
98031-2145
Phone Number
253-886-8578
Fax Number
person
Provider Business Mailing Address Details
Address
21245 110Th Ave Se
City
Kent
State
Washington
Zip
98031-2145
Phone Number
253-886-8578
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA60204242 (Washington)
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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