Doctor Name: | LISA A CRONIN |
NPI Number: | 1437265550 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30005988 |
Business Practice Address: | 144 169th St S Ste A Spanaway, WA - 983878242 |
Business Phone Number: | 2535362824 |
Business Fax Number: | 2535363070 |
Mailing Address: | 144 169th St S Ste A, SPANAWAY |
State: | WA |
Postal Code: | 983878242 |
Phone Number: | 2535362824 |
Fax Number: | 2535363070 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | AP30005988 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |