Provider Demographics
NPI:1710051016
Name:FLORENCE, LISA S (MD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:S
Last Name:FLORENCE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1124 COLUMBIA ST., SUITE 600
Mailing Address - Street 2:SWEDISH ORGAN TRANSPLANT
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2046
Mailing Address - Country:US
Mailing Address - Phone:206-386-3659
Mailing Address - Fax:206-386-3622
Practice Address - Street 1:1124 COLUMBIA ST, SUITE 600
Practice Address - Street 2:SWEDISH ORGAN TRANSPLANT
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2046
Practice Address - Country:US
Practice Address - Phone:206-386-3659
Practice Address - Fax:206-386-3622
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2021-05-18
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Provider Licenses
StateLicense IDTaxonomies
WAMD00032085208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery