Provider Demographics
NPI:1124565544
Name:GEIGER, LISA FROHMAN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:FROHMAN
Last Name:GEIGER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9715 241ST PL SW
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-6512
Mailing Address - Country:US
Mailing Address - Phone:206-412-8812
Mailing Address - Fax:206-533-9445
Practice Address - Street 1:406 MAIN ST
Practice Address - Street 2:SUITE 117
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3166
Practice Address - Country:US
Practice Address - Phone:206-412-8812
Practice Address - Fax:206-533-9445
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003257363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner