| Doctor Name: | MR. GLENN RONALD LIRMAN |
| NPI Number: | 1043387830 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | AP30003222 |
| Business Practice Address: | 620 W James St Kent, WA - 980324487 |
| Business Phone Number: | 2062052400 |
| Business Fax Number: | 2062052439 |
| Mailing Address: | 4330 Wallingford Ave N, SEATTLE |
| State: | WA |
| Postal Code: | 981037542 |
| Phone Number: | 2062052415 |
| Fax Number: | 2062052439 |
| NPI Enumeration Date: | 11/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP30003222 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |