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Lidia Wiersum

NPI 1558605071 · on the registry since 2012 · sole proprietor

Practice

Address
2445 270th Ave Se
Issaquah, WA 98029
Phone
(262) 748-5588

Additional practice sites

  • 800 5th Ave Ste 600, Seattle, WA
  • 19401 40th Ave W Ste 230, Lynnwood, WA
  • 747 Broadway # Wwa11b, Seattle, WA

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington