LISA "LEE" ANN VIVANCO

RENTON, WA
NPI1871088427
Other NameLISA "LEE" ANN MCCAFFREY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP60865969)
Enumeration Date2018-06-26
Last Update Date2021-07-14
Business Address
LISA "LEE" ANN VIVANCO DNP
400 S 43RD ST
RENTON, WA 98055-5714
Phone number: 425-228-3440
Mailing Address
LISA "LEE" ANN VIVANCO DNP
3600 LIND AVE SW SUITE 100 ATTN CREDENTIALING
RENTON, WA 98057-4970
Phone number: