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NPI Code Detail

MEDICARE: LISA STRIEDINGER CPC

MEDICARE: LISA STRIEDINGER CPC
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
1101YM0800XMental Health CounselorCG60997175WA
2175T00000XPeer SpecialistCG60997175WA

General Provider Information

NPI Number : 1770130700
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA STRIEDINGER CPC
Provider Business Mailing Address
First Line : 3285 FERGUSON ST SW
Second Line :
City : TUMWATER
State : WA
Zip : 98512-6143
Country : US
Telephone Number : 360-943-1907
Fax Number : 253-572-0153
Provider Business Practice Location Address
First Line : 3285 FERGUSON ST SW
Second Line :
City : TUMWATER
State : WA
Zip : 98512-6143
Country : US
Telephone Number : 360-943-1907
Fax Number : 253-572-0153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2019
Last Update Date : 07/24/2023

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Directions to “ LISA STRIEDINGER CPC” Practice Location

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