Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa Nicole Fomenoff, DC

Individual provider Chiropractor · NPI 1194735472

Dr. Lisa Nicole Fomenoff, DC is a Chiropractor in Bellevue, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

14777 NE 40th St Ste 102
Bellevue, WA 98007-3300
Phone: (425) 883-2543
Fax: (425) 867-1109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH00034259 (WA)

Record details

NPI number1194735472
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorYes
NPI enumeratedAugust 9, 2006
Last updated in NPPESJanuary 21, 2008

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