Provider Demographics
NPI:1942624242
Name:CHEN, LISA NAWEI (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:NAWEI
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 QUEEN ANNE AVE N STE 404
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2876
Mailing Address - Country:US
Mailing Address - Phone:410-881-3012
Mailing Address - Fax:678-890-5279
Practice Address - Street 1:1817 QUEEN ANNE AVE N STE 404
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2876
Practice Address - Country:US
Practice Address - Phone:410-881-3012
Practice Address - Fax:678-890-5279
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-07
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00877012084P0800X
WA612880932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty