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1871791236
LISA L DOHERTY
LONGVIEW, WA
NPI
1871791236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD60132321)
Enumeration Date
2007-07-06
Last Update Date
2010-11-03
Business Address
Dr. LISA L DOHERTY M.D.
1615 DELAWARE ST
LONGVIEW, WA 98632-2367
Phone number: 360-414-2385
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Mailing Address
Dr. LISA L DOHERTY M.D.
PO BOX 3002
LONGVIEW, WA 98632-0302
Phone number: 360-414-2048
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