NPI 1518154004

Michaella-Lyanne T Misko, LMP

Practitioner Specialist Des Moines, WA

Practice location

Address: 22000 Marine View Dr S Suite 202, Des Moines, WA 98198-6233
Phone: (206) 380-5430

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00023720 (WA)

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Registry record

NPI: 1518154004
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2007
Record last updated: 27 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.