Most Relevant Information
Provider Data
| NPI Number: | 1003072125 |
| Provider Name: | LISA MARIE WILLIAMSON LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: | 6967 |
Most Important Dates
| Enumeration Date: | 07/29/2008 |
| Last Updated: | 07/29/2008 |
Provider Practice Location
731 POMONA ST
THE DALLES
OR
970584105
Practice Location Phone/Fax
| Phone: | 5419935310 |
| Fax: |
Provider Mailing Location
1508 G ST
THE DALLES
OR
970583058
Provider Mailing Phone/Fax
| Phone: | 5415063743 |
| Fax: |