Individual provider · Type 1 NPI

Lisa Nicole Fomenoff, DC

Chiropractor · Bellevue, WA

NPI number 1194735472 Active

Practice location

14777 NE 40th St, Suite 102
Bellevue, WA 98007-3300

Call (425) 883-2543 Map

Fax (425) 867-1109

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH00034259 (WA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1194735472

Lisa Nicole Fomenoff, DC's National Provider Identifier is 1194735472, issued on Aug 9, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bellevue, WA. The record was last updated on Jan 21, 2008.