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Contact Information

LISA L ILLICH, MS
1959 NE PACIFIC ST.
SEATTLE, WA98195-0001
 Phone: 206-520-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
Indicates primary specialty

NPI Profile & details for LISA L ILLICH · (Female)

NPI Number 1861467839
Status Active
Credentials MS
Entity Individual
Enumeration date 02/22/2006
Last updated 09/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WA License # LD00001205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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