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

Lisa Marie Tibor, MD

Individual provider Orthopaedic Surgery Physician · NPI 1497971865

Lisa Marie Tibor, MD is an Orthopedic Surgery in Tacoma, Washington. Graduated from University of California, San Francisco School of Medicine in 2004, 22 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
22
Trained at
University of California, San Francisco School of Medicine
Licensed in
WA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone: (760) 924-4084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 85 Sierra Park Road, Mammoth Lakes, CA 93546 — (760) 924-4084

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence MD60721917 (WA)

Record details

NPI number1497971865
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2007
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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