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NPI Code Detail

MEDICARE: LISA TANG PHARM.D.

MEDICARE:   LISA  TANG  PHARM.D.
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
1183500000XPharmacistPH00049214WA

General Provider Information

NPI Number : 1164402228
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA TANG PHARM.D.
Provider Business Mailing Address
First Line : 1660 S COLUMBIAN WAY
Second Line :
City : SEATTLE
State : WA
Zip : 98108-1532
Country : US
Telephone Number : 206-764-2383
Fax Number :
Provider Business Practice Location Address
First Line : 1660 S COLUMBIAN WAY
Second Line :
City : SEATTLE
State : WA
Zip : 98108-1532
Country : US
Telephone Number : 206-764-2383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 07/26/2014

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Directions to “ LISA TANG PHARM.D.” Practice Location

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