Individual provider · Type 1 NPI

Lillian S. Stoneking, PA-C

Medical Physician Assistant · Longview, WA

NPI number 1891811311 Active

Practice location

1615 Delaware St
Longview, WA 98632-2310

Fax (360) 474-2739

Mailing address

PO Box 3002
Longview, WA 98632-0302

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA00332 (TX)
Medical Physician Assistant 363AM0700XPA00332 (TX)
Physician Assistant 363A00000XPA10005191 (WA)
Medical Physician Assistant Primary 363AM0700XPA10005191 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1891811311

Lillian S. Stoneking, PA-C's National Provider Identifier is 1891811311, issued on Mar 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Longview, WA. The record was last updated on Nov 14, 2007.