Mrs. Lisa Larae Stam
Mrs. Lisa Larae Stam is a Massage Therapist in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2006.
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
410 E 20th St Ste #7Vancouver, WA 98663
Phone: (360) 608-1806
Fax: (360) 253-3047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 00019362 (WA) |
|---|
Record details
| NPI number | 1992724850 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 19, 2006 |
| Last updated in NPPES | July 8, 2007 |
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