DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LISA ARCHER

MEDICARE: LISA ARCHER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP60851817WA
2363LF0000XFamily Nurse Practitioner638334TX

General Provider Information

NPI Number : 1043648702
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ARCHER
Provider Business Mailing Address
First Line : 2428 W REYNOLDS AVE
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-4554
Country : US
Telephone Number : 360-330-9044
Fax Number :
Provider Business Practice Location Address
First Line : 2428 W REYNOLDS AVE
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-4554
Country : US
Telephone Number : 360-330-9044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2013
Last Update Date : 12/19/2025

Similar Medicare Providers

1558053140 — SUSAN BAKER LMHC
Practice Location Address:
2428 W REYNOLDS AVE
CENTRALIA, WA
98531-4554
Practice Phone: 360-330-9044
Practice Fax:
1518622851 — ADELAINA HIRI
Practice Location Address:
2428 W REYNOLDS AVE SW
CENTRALIA, WA
98531-4554
Practice Phone: 360-330-9044
Practice Fax:
1578724498 — MS. AMANDA MICHELLE REICH MA
Practice Location Address:
2428 W REYNOLDS AVE
CENTRALIA, WA
98531-4554
Practice Phone: 360-330-9044
Practice Fax:
1215994694 — KANDIS JUNE KANINE LMHA, MHP
Practice Location Address:
2428 W REYNOLDS AVE
CENTRALIA, WA
98531-4554
Practice Phone: 360-330-9044
Practice Fax:
1114099223 — DR. RICHARD JOSEPH STRIDE
Practice Location Address:
2428 W REYNOLDS AVE
CENTRALIA, WA
98531-4554
Practice Phone: 360-330-9044
Practice Fax: 360-736-3139
1750449013 — MR. JEREMY KEITH GREENWOOD LICSW
Practice Location Address:
2428 W REYNOLDS AVE
CENTRALIA, WA
98531-4554
Practice Phone: 360-330-9044
Practice Fax:
1639227317 — MATTHEW SCOTT PATTEN MS
Practice Location Address:
2428 W REYNOLDS AVE
CENTRALIA, WA
98531-4554
Practice Phone: 360-330-9044
Practice Fax: 360-736-3139

Directions to “ LISA ARCHER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.