Provider Demographics
NPI:1477924264
Name:MORSE, LISA ANN (ND)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANN
Last Name:MORSE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2299
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-2299
Mailing Address - Country:US
Mailing Address - Phone:563-370-7341
Mailing Address - Fax:
Practice Address - Street 1:17407 VASHON HWY SW
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-3512
Practice Address - Country:US
Practice Address - Phone:206-693-4143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-19
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60605919175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath