Individual provider · Type 1 NPI

Carol L. Lies, LMP-CR

Specialist · Vancouver, WA

NPI number 1962697680 Active

Practice location

1503 NE 78th St
Vancouver, WA 98665-9666

Call (360) 903-5758 Map

Mailing address

3870 Addy St
Washougal, WA 98671-2705

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X16389 (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 1962697680

Carol L. Lies, LMP-CR's National Provider Identifier is 1962697680, issued on Sep 6, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vancouver, WA. The record was last updated on Sep 6, 2007.