Individual provider · Type 1 NPI

Lise Mary Peterson, LMP

Specialist · Woodinville, WA

NPI number 1073644969 Active

Practice location

17401 135th Ave NE, Suite 4
Woodinville, WA 98072-6825

Call (425) 483-5454 Map

Fax (425) 424-3256

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00012465 (WA)

Specialist: 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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About NPI 1073644969

Lise Mary Peterson, LMP's National Provider Identifier is 1073644969, issued on Mar 9, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Woodinville, WA. The record was last updated on Jul 8, 2007.