Lisa Fanning, LMP

NPI 1831241074 · on the registry since 2007 · sole proprietor

Practice

Address: 6101 200th St Sw
#206
Lynnwood, WA 98036
Phone: (425) 774-6402
Fax: (425) 774-6402
Organisation at this address: Edmonds Family Care, Pllc
Platinum Dental Northwest Llc
Impact Physical Therapy, P.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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