Dr Lisa Thottappilly, MD | |
209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | |
(201) 310-9711 | |
Not Available |
Full Name | Dr Lisa Thottappilly |
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Gender | Female |
Speciality | Family Medicine |
Location | 209 Martin Luther King Jr Way, Tacoma, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629394127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD163908 (Oregon) | Secondary |
207Q00000X | Family Medicine | MD60529771 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Entity Name | Capital Medical Center Specialty Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
Mailing Address | Practice Location Address |
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Dr Lisa Thottappilly, MD 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 Ph: (201) 310-9711 | Dr Lisa Thottappilly, MD 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 Ph: (201) 310-9711 |
Dr. Kristina Siu Petsas, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Mrs. Anne Garces Laporte, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
James M Roos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
Loren B Betteridge, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3733 S Thompson Ave, Tacoma, WA 98418 Phone: 253-472-4473 Fax: 253-474-3056 | |
Dr. Thuy-tien V Le, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 732 Broadway Ste 201, Tacoma, WA 98402 Phone: 702-871-8535 Fax: 941-499-0035 | |
Alexander K Lee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-459-7785 | |
Willa Alise Marinov, RN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Avenue Department Of Family Medicine, Tacoma, WA 98431 Phone: 253-968-4644 |