Female

Lisa L. Barrientos-haase LMP

Specialist in Bonney Lake, WA(View on Map)

Full Name

Lisa Lyn Barrientos-haase LMP

NPI Number

1568658508

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/24/2007

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

MA00024170

Contact
Information

Purpose

Mailing
Location

Address

21222 117TH ST E
21107 SR 410 E.

City

Bonney Lake
Bonney Lake

State

WA
WA

Postal Code

98391-7750
98391

Country

US
US

Telephone Number

(253) 447-4599
(253) 447-4126

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/24/2007

Provider Address

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