Provider Demographics
NPI:1952755159
Name:CROSS, ALI LEWANN ARMSTRONG (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:LEWANN ARMSTRONG
Last Name:CROSS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:ALI
Other - Middle Name:LEWANN
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9399 RIDGETOP BLVD NW
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8505
Mailing Address - Country:US
Mailing Address - Phone:360-990-0716
Mailing Address - Fax:
Practice Address - Street 1:9399 RIDGETOP BLVD NW
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8505
Practice Address - Country:US
Practice Address - Phone:360-900-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60961158213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist