Search › Washington › 207Q00000X
Lise Retailliau, D.O
NPI 1952539041 · on the registry since 2009
Practice
- Address
- 1322 3rd St Se Ste 240
Puyallup, WA 98372 - Phone
- (253) 697-5757
- Organisation at this address
- Sound Surgical Associates
Puyallup Children'S Clinic, Pllc
Good Samaritan Surgery Center Llc
Puyallup Valley Pediatric Associates, P.S.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 63
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-15
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