LISA VASANTH

VANCOUVER, WA
NPI1750433546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RR0500X Internal Medicine Rheumatology
(Licence: WA  MD60631890)
Additional Taxonomies207RR0500X Internal Medicine Rheumatology
(Licence: NY  222188)
Enumeration Date2007-01-18
Last Update Date2016-04-13
Business Address
LISA VASANTH MD
700 NE 87TH AVE # 330
VANCOUVER, WA 98664-1913
Phone number: 360-882-2778
Mailing Address
LISA VASANTH MD
PO BOX 873010
VANCOUVER, WA 98687-3010
Phone number: 360-882-2778