person
Ms. Lisa Marie Reardon, PA-C
Medical Physician Assistant in Kennewick, Washington
NPI 1700049228

Lisa Marie Reardon is a Medical Physician Assistant based in Richland, WA and is specialized in Medical. Lisa Marie Reardon practices in Kennewick, WA and has the professional credentials of PA-C. The NPI Number for Lisa Marie Reardon is 1700049228 and holds a License No. PA00739 (Washington).

The current practice location address for Lisa Marie Reardon is 4008 W 27Th Ave, Suite 103, Kennewick, WA and can be reached out via phone at 509-942-2355 and via fax at 509-222-1289. You can also correspond with Lisa Marie Reardon through the mailing address at 560 GAGE BLVD, RICHLAND, WA - 99352 (mailing address contact number: 509-942-3627).

Location: 4008 W 27Th Ave, Suite 103, Kennewick, WA, 99352
person
Provider Profile Details
NPI Number
1700049228
Provider Name
Lisa Marie Reardon
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4008 W 27Th Ave, Suite 103, Kennewick, WA, 99352
Phone Number
509-942-2355
Fax Number
509-222-1289
Provider Enumeration Date
07/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1700049228 05 WA
institution
Provider Business Practice Location Address Details
Address
4008 W 27Th Ave, Suite 103
City
State
Zip
99337
Phone Number
509-942-2355
Fax Number
509-222-1289
person
Provider Business Mailing Address Details
Address
4008 W 27Th Ave, Suite 103
City
State
Zip
99337
Phone Number
509-942-2355
Fax Number
509-222-1289
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00739 (Oregon)
Definition
Definition to come...
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