LISA MICHELLE MELODY

ANACORTES, WA
NPI1942575675
Former NameLISA MICHELLE FUEHRER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA61112006)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: CA  PA22082)
Enumeration Date2012-03-13
Last Update Date2021-10-19
Business Address
LISA MICHELLE MELODY PA-C
1213 24TH ST STE 100
ANACORTES, WA 98221-2595
Phone number: 360-293-3101
Mailing Address
LISA MICHELLE MELODY PA-C
1211 24TH ST
ANACORTES, WA 98221-2562
Phone number: 360-299-4945