MEDICARE: DR. LISE JANE HARRINGTON D.C., L.A.C.

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
1	171100000X	Acupuncturist	60713118	WA
2	111N00000X	Chiropractor	60701250	WA

General Provider Information

NPI Number	:	1407814767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISE JANE HARRINGTON D.C., L.A.C.

Provider Business Mailing Address
First Line	:	PO BOX 1619
Second Line	:
City	:	NEWPORT
State	:	WA
Zip	:	99156-1619
Country	:	US
Telephone Number	:	509-996-5884
Fax Number	:	509-260-2076

Provider Business Practice Location Address
First Line	:	405 W WALNUT ST STE 1
Second Line	:
City	:	NEWPORT
State	:	WA
Zip	:	99156-9388
Country	:	US
Telephone Number	:	509-996-5884
Fax Number	:	509-260-2076

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	02/03/2022

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