Search › Washington › 111N00000X
Lisa Mccullough, D.C
NPI 1568704195 · on the registry since 2013
Practice
- Address
- 1822 Black Lake Blvd Sw Ste 103
Olympia, WA 98512 - Phone
- (360) 943-0988
- Fax
- (615) 264-8879
- Organisation at this address
- Mc3 Enterprises Llc
Edward I Dagher Md Pllc
South Sound Dentures, P.S.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- TN, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-20
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