NPI 1811067895

Penny Maree Lease, LMP

Practitioner Rehabilitation Practitioner Lynnwood, WA

Practice location

Address: 18927 33rd Ave W Suite B, Lynnwood, WA 98036-4726
Phone: (425) 776-1056
Mailing address: PO Box 1214, Lynnwood, WA 98046-1214

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence MA00019308 (WA)

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Registry record

NPI: 1811067895
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2006
Record last updated: 13 Feb 2008

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.