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Lisa Carol Ribera, PA-C
Medical Physician Assistant in Shelton, Washington
NPI 1922165513

Lisa Carol Ribera is a Medical Physician Assistant based in Shelton, WA and is specialized in Medical. Lisa Carol Ribera practices in Shelton, WA and has the professional credentials of PA-C. The NPI Number for Lisa Carol Ribera is 1922165513 and holds a License No. PA10005025 (Washington).

The current practice location address for Lisa Carol Ribera is 1701 N 13Th St, Shelton, WA and can be reached out via phone at 360-426-2653.

Location: 1701 N 13Th St, Shelton, WA, 98584-5001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922165513
Provider Name
Lisa Carol Ribera
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1701 N 13Th St, Shelton, WA, 98584-5001
Phone Number
360-426-2653
Fax Number
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA10005025 01 WA PA-C STATE LICENSE
8477416 05 WA
institution
Provider Business Practice Location Address Details
Address
1701 N 13Th St
City
Shelton
State
Washington
Zip
98584-2077
Phone Number
360-426-2653
Fax Number
person
Provider Business Mailing Address Details
Address
1701 N 13Th St
City
Shelton
State
Washington
Zip
98584-2077
Phone Number
360-426-2653
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA10005025 (Washington)
Definition
Definition to come...
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